Flashcards in Essential Pain Management Deck (8)
Overall EPM Aims (RAT)
What is Pain?
International Association for the Study of Pain (IASP)
Pain is ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage
The cause is not always visible.
‘Pain is what the patient says hurts.’
Assessment of Severity
(Why should we assess the severity of pain)
Guides choice of treatment
Measures response to treatment
‘Pain is the 5th vital sign.’
Measure and record severity
Methods to assess pain severity
Verbal Rating Scale
Mild, moderate, severe
0 (no pain) to 10 (worst pain imaginable)
Visual Analogue Scale (VAS)
Faces Pain Scale (FPS)
Other more specialised methods
Classification of Pain
"What type of pain is it?"
Not all pain is the same!
Three main questions:
"How long has the patient had pain?
What is the cause?
What is the pain mechanism?"
Classification of Pain (duration)
Acute versus Chronic
Pain of recent onset and probable limited duration
Pain lasting for more than 3 months
Pain lasting after normal healing
Sometimes no identifiable cause
Classification of Pain (cause)
Cancer versus Non-Cancer
May be mixture of acute and chronic
Many different causes
Acute or chronic