Pain Assessment & MGT

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Prince Faisal bin Khalid Cardiac Center

Abha, Saudi Arabia

Nursing Education
Department

PAIN ASSESSMENT and


MANAGEMENT
Objective
 At the end of the presentation, RNs will be
able to:
1. Understand the significance of Pain
Assessment and Management.
2. Identify the correct technique of assessing
pain.
3. Be familiar with PFKCC policy on Pain
Assessment and Management.
PAIN ASSESSMENT
What is PAIN?
 An uncomfortable feeling that might signify a tissue damage.
 Highly SUBJECTIVE.
 It can be steady, throbbing, stabbing, aching or pinching.
 Classification:
1. ACUTE: severe, short-lived.
2. CHRONIC: mild to severe, present for long periods and
often require treatment.
NUMERICAL PAIN SCALE
WONG-BAKER FACES
BEHAVIORAL PAIN SCALES

Use in patients who can’t self-report pain.


ASSESSING PAIN CHARACTERISTIC

PROVACATIVE (trigger)
RADIATION
PALLIATIVE Factors

QUALITY SEVERITY
Sharp, squeezing, burning,
Use assessment tools
cramping, aching, pounding

TIMING
Duration
PAIN MANAGEMENT
Non-PHARMA Interventions
PHARMA Interventions
PFKCC POLICY ON PAIN
ASSESSMENT and MANAGEMENT
FAQs
When should PAIN ASSESSMENT be PERFORMED?
1. On admission/ within 4-hours of admission.
2. Before trans-in
3. During handover
4. With each VITAL SIGNS assessment
5. Before and after pain medication is given
6. Before and after invasive procedures

 How frequent should PAIN ASSESSMENT be carried out?


1. With EACH VITAL SIGNS assessment (Critical Care Units HOURLY, Non-critical care Unit
EVERY 4-HOURS).
2. Before and after administering pain medication.

 How should an RN choose the appropriate PAIN ASSESSMENT TOOL?


Assess AGE and Clinical Condition
Assess ability to COMMUNICATE

 Can a nurse administer PHARMA intervention without a doctor’s order?


No. Pain Reliever needs doctor’s order.

 Where to document PAIN ASSESSMENT findings?


Critical Care Flow Sheet
Nurse’s Progress Notes
Vital Signs Chart
References
 https://www.ausmed.com.au/cpd/articles/pain-assessment
 https://wongbakerfaces.org/
 https://pubmed.ncbi.nlm.nih.gov/19697008/
Questions and Suggestions
will be reviewed by the
NURSE EDUCATION TEAM
through your participation in our
SURVEY MONKEY Feedback Questionnaire.
Link will be sent through your Whatsapp.
Jazakallahu Khair!!!

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