Unidimensional Pain Tools Flashcards
unidimensional pain assessment tools
numerical rating scale wong-baker faces pain scale flacc pain scale neonatal infant pain scale critical care pain observation tool pain assessment in advance dementia
pain assessment tools according to age
numerical rating scale: >18 yo
wong-baker faces scale: 3-17 yo
flacc pain scale: 1-2 yo
naonatal infant pain scale: <1 yo
pain assessment tool for non communicating patients
critical care pain observation tool
pain assessment tool for patients with advanced dementia
pain assessment in advanced dementia
if the patient cannot respond verbally, ___
ask patient to point to words, scales, or anatomical drawings
t/f you need to ask the patient to rate each pain individually
false, have the patient provide a single, global estimate of pain intensity
t/f you need to use the same pain rating scale each time pain is evaluated
true
t/f pain intensity is proportional to the type or extent of tissue damage
false, not proportional
pain ratings of ___ interfere markedly with activity
4 or greater
advantage to using nrs
- easy to use and simple to describe
- high rate of adherence
- flexible administration
- validated for numerous setting and pain types
disadvantages of nrs
- less reliable to very young or old
- less reliable for pts with visual, hearing, or cognitive impairment
most commonly used rating scale
nrs
advantages of visual analog scale
- efficient to administer
- valid for chronic pain >5 yo
disadvantages to vas
- time consuming
- controversial validity
- poor reproducibility with cognitive dysfunction
t/f vas is preferred over faces pain scale in the elderly
false, faces pain scale for elderly
t/f in the faces pain scale you compare the patient’s face to the drawings
false, you ask patient to point
advantages of faces pain scale
- easier than nrs or vas
- no difference in culture, gender, ethnicity
- good for difficult communication
disadvantages of faces pain scale
- potential for distorted assessment
- need for instrumentation
components of flacc scale
face legs activity cry consolability
scores in flacc rating sclae
0 relaxed and comfortable
1-3 mild discomfort
4-6 moderate pain
7-10 severe pain
components of neonatal infants pain scale
facial expression cry breathing arms legs alertness
components of critical pain observation tool (cpot)
facial expression
body movements
muscle tension
compliance with ventilator or vocalization
cpot scoring
= 2: minimal to no pain, consider reevaluation
>2: unacceptable level of pain, consider further alternative analgesia and sedation
components of pain in advance dementia
breathing negative vocalization facial expression body language consolability
pain ad scoring
1-3 mild pain
4-6 moderate pain
7-10 severe pain
red flags
chest pain nontraumatic abdominal pain extremities: new onset numbness, painful deformity, weakness pain score >3/10 dementia patients increase from baseline
