Pain Assessment Flashcards
why do children not always admit to having pain
avoid injections
they may not know they are in pain if its constant and chronic
they think others know how they are feeling
culture
gender
who, besides the patient, is able to identify when the child is in pain
the parents! they know their children better than anyone else
is addiction to narcoticsa normal finding in children
no
addiction is extremely _______ when medication is used for an _____ condition and when there is not past ______ of addiction
rare; acute; history
is anaphylaxis related to penicillin higher or lower than the risk of respiratory depression from opioids
higher
need for larger dose of opioid to maintain original effect
drug tolerance
what is the “protective benefits of opioids”
increase in pain= more opioids= decrease respiratory depression
withdrawal symptoms when chronic use of opiod is discontinued or opioid antagonist is given
physical dependence
babies are not born “addicted” they are born
drug dependent
can an infant be experiencing pain even when lying quiet with eyes closed
yes
what are the 4 pain assessment cues
- verbal
- behavioural
- physiological
- contextual
self report is the best way we know they are in pain- infant may be crying or screaming
1 verbal pain cue
what is their facial expression, posture, are they barely moving, are they sleeping more or less
2 behavioural pain cue
the problem with this is your body compensates over time with pain- initially you would expect them to by tachycardia, tachypnea, etc but then the body has compensated and it does not show
3 physiologic pain cue
anything that will play into what you think we are missing about why they are hurting
4 contexual pain cue
what is QUESTT
Question the pt Use pain rating scale evaluate behavior and physiologic signs secure familys involvment take cause of pain into account take action and assess effectiveness
what words can we use to describe pain to young pt
owie, boo-boo, ouch, hurt, ow ow
when asking the pt if they are in pain who else should you ask
ask the parent about previous experiences with pain
what type of documentation of pain is more likely to lead to favorable change in analgesic orders
objective (what you see)
what age can they start using the numeric scale
5 and older but they should have a number concept
when telling a pt about the wont-baker FACES scale what should you emphasize
that you don’t have to be crying to rate your pain a 10 like the picture suggests
what are physiologic indications of acute pain
dilated pupils increase sweating increased heart rate increased rate of resp. increased BP decreased urine output decreased peristalsis of GI tract increased MBR
at what age can you switch to FACES
age 3 but can still use FLACC
behavioral pain rating scales are pain ______ score not a pain _____ score
behavioral; intensity
how long will it take for IV analgesics to take effect
5 minutes so assess their pain after 5 minutes of giving and also 15 minutes
how long will it take for PO analgesic to take effect
30-60 minutes
