05-05a: Pain Flashcards Preview

05 - Tests and Measurements > 05-05a: Pain > Flashcards

Flashcards in 05-05a: Pain Deck (15):
1

Definition of pain

Unpleasant sensory, perceptual, emotional, mental experience provoked by disease or injury with autonomic, physiological, and behavioral responses

2

Pain is ____ vital sign

- 5th vital sign
- Heart Rate, Blood Pressure, Respiratory Rate, Temperature, PAIN

3

Characteristics of pain

- Type (Burning, tingling, sharp, dull, etc.)
- Location (Where pain is)
- Intensity (How severe is pain)
- Duration (How long does pain last)
- Frequency (How often does pain occur)

4

Acute pain

Pain that lasts less than six weeks

5

Chronic pain

Pain that lasts greater than three months, or persistent pain that lasts beyond the expected healing timeframe

6

Subacute pain

Pain that lasts 6-12 weeks (while tissue is still healing or just shortly after)

7

Questions to ask about pain

- What makes pain worse or better?
- Over last 48 hrs, are sx getting better, worse, staying the same?
- Have you sought tx for this pain before? What kind and when? How did you respond?
- Has pain ever occurred before?

8

Numerical Pain Scale (NPS, NPRS)

- Rating of pain on a scale of 0-10
- 0 = no pain, 10 = unbearable pain

9

Visual Analogue Scale (VAS)

- Level of perceived pain
- 10 cm line, L anchor = no pain, R anchor = unbearable pain
- Measure line from L anchor and record number as score
- Can use facial pictures for children (relate to expressions) or communication impairments

10

Psychometrics (VAS)

- Highly sensitive if small increments used
- Valid if measures taken accurately
- Increase reliability if pt allowed to mark on the scale/line

11

If pt's rating increases significantly from the last rating, PTA should...

- ...stop treatment and consult PT
- Can inquire about pain, what they felt, then consult PT

12

Body diagrams

Pt marks location of pain in diagram of human body

13

McGill Pain Questionnaire

- 70 questions, 4 pts, max score 78
- Establish baseline, monitors progress
- Pt 1: pt marks area and type of pain on body diagram
- Pt 2: pt chooses one word that best describes pain from 20 categories
- Pt 3: pt describes pain pattern, factors that increase/relieve pain
- Pt 4: pt rates the intensity of pain from 0-5

14

Dallas Questionnaire

- Self-report looks at impact of pain on daily life rather than pain itself
- Rate % of pain on different aspects of ADL
- 16 questions

15

Oswestry Disability Index

- Self-report calculates % of disability based on pt's score in 10 sections