Pain Assessment
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Transcript of Pain Assessment
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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