Step 1: Pain Assessment
show the pain rating scale and explain its purpose
step 2 in pain assessment
explain the parts of the pain rating scale, if the patient does not prefer the scale switch to a different scale such as FACES, VDS, or verticle presentation
step 3 in pain assessment
explain that pain is a broat concept and not limited to a severe intolerable sensation
step 4 in pain assessment
verify that the patient understands the broad concept on pain
step 5 in pain assessment
ask the patient to practice using the pain scale with the present pain
step 6 in pain assessment
set goals for confort, function, recovery, activities of daily life.
Non-pharmacological interventions
ensure bed sheets are smooth and that the client is not lying on any tubing or chords, postion the client in anatomical position using gentle movements. Encourage the client to utilize hot cold therapy, transcutaneous electrical stimulations, massage, theraputic touch, music, acupuncture, deep breathing, RICE, exercise.
Pharamcological interventions for pain
NSAIDS (tylenol, ibprofen, asprin)
long term use of tylenol can lead to
liver damage
long term use of NSAIDS can lead to
bleeding and kidney malfunction
What kind of pain are opiods used for
moderate to severe pain
techniques for proper body mechanics (body allignment/ posture)
place spine in nuetral position, allow bones to be alligned. Keep core engaged, avoid standing in one postion for too long, don't lock your knees when standing.
to avoid injury while encouraging proper body mechanics you should:
place your center gravity closest to the base for support, stand with head raised, buttock pulled in, core tight, shoulders pulled back, with feet apart
safe client handling
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