Pain Assessment Dr Leon Malzinskas SMO BCRH Wonthaggi Hospital.
-
Upload
brent-riley -
Category
Documents
-
view
220 -
download
0
Transcript of Pain Assessment Dr Leon Malzinskas SMO BCRH Wonthaggi Hospital.
Pain AssessmentDr Leon Malzinskas
SMO BCRH Wonthaggi Hospital
Pain Definition
• Sensory and emotional experience associated with actual or potential tissue damage
Post operative pain
• Acute
• Nociceptors and Neuropathic pain
• Surgical pain
Why is control important
• Delays post op recovery
• Increases morbidity
• Delays return to normal function
• Restricts mobility -> thromboembolism
• Catecholamine release
• Pulmonary dysfunction
Assessment
• Pre op prediction
• Post op subjective assessment
• Post op objective assessment
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
Subjective assessment
• Pain scales - single dimensional and multi dimensional
Objective
• Look at the patient
• Physiological parameters
• Functional parameters
Outcomes assessment
• Response to therapy
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
Summary
• Preop assessment
• Knowledge of surgery
• Simple and quick assessment tools
• Outcome assessment regularly