pain assessment and management Flashcards
type of pain:
* Pain that persists for 3 months or
more
* Pain that persists beyond expected
period of healing
chronic
type of pain:
* Episodic
* Examples include migraine
headaches, episodic sickle cell pain,
recurrent abdominal pain, and limb
pain
recurrent
preschooler view of pain
-physical concrete experience
-views pain as punishment
-blames someone for causing pain
school age view of pain
7-9. yo:
-understand simple relationship of pain and disease
-perceives psychological pain
10-12 yo:
-understands cause and effect
adolescent view of pain
-able to give reason for pain
-perceives types of pain
-fears losing control during painful experience
pediatric pain assessment areas
-brows
-eyes
-cheeks
-nose
-mouth
pain scales
-NIPS (for NICU)
-FLACC
-FACES
-numeric pain scale
what age cannot have motrin
<6 mos
what is N-PASS
neonatal pain, agitation, and sedation scale
what is assessed in NIPS
-facial expression
-cry
-breathing
-arms
-legs
-alertness
what is assessed in FLACC
-face
-legs
-activity
-cry
-consolability
FLACC scores and meaning
0: relaxed and comfortable
1-3: mild discomfort
4-6: moderate
7-10: severe
what age can use verbal analog scale (0-10 rating)
8+ yo
what age can use FACES scale
3+ yo
can you use demerol in kids
NO
increased risk seizures
