pain assessment
DESCRIPTION
Pain Assessment. Dr Leon Malzinskas SMO BCRH Wonthaggi Hospital. Sensory and emotional experience associated with actual or potential tissue damage. Pain Definition. Acute Nociceptors and Neuropathic pain Surgical pain. Post operative pain. Delays post op recovery Increases morbidity - PowerPoint PPT PresentationTRANSCRIPT
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Pain AssessmentDr Leon Malzinskas
SMO BCRH Wonthaggi Hospital
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Pain Definition
• Sensory and emotional experience associated with actual or potential tissue damage
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Post operative pain
• Acute
• Nociceptors and Neuropathic pain
• Surgical pain
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Why is control important
• Delays post op recovery
• Increases morbidity
• Delays return to normal function
• Restricts mobility -> thromboembolism
• Catecholamine release
• Pulmonary dysfunction
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Assessment
• Pre op prediction
• Post op subjective assessment
• Post op objective assessment
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Pre op assessment
• Past medical and surgical history
• Current Rx (prescribed and illicit)
• Allergies
• Past pain history and treatments
• Patients expectations of pain
• Advice re pain Mx and modes of delivery
• How we measure pain and patients reporting
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Subjective assessment
• Pain scales - single dimensional and multi dimensional
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Objective
• Look at the patient
• Physiological parameters
• Functional parameters
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Outcomes assessment
• Response to therapy
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Practicalities
• Pre op assessment
• Prediction of pain
• Preempt with preventative Rx
• Assess post op subjectively and objectively
• Treat with appropriate Rx
• Assess response
• Modify Mx
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Summary
• Preop assessment
• Knowledge of surgery
• Simple and quick assessment tools
• Outcome assessment regularly