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Pain Scales
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Previous CPT Forum View Drop Down
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    Posted: Jul 08 2008 at 1:37pm

J.S.

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Posted - 05/31/2006 :  13:49:47  Show Profile  Reply with Quote
Just wondering what others are using in the inpatient setting besides the common 0-10 scale and the use of the faces for rating of pain? Sometimes patients are not cognitively able to rate or describe pain. Thanks
J.S.

CMT

USA
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Posted - 06/01/2006 :  11:19:51  Show Profile  Reply with Quote
At our hosiptal our inpatient PT's are using the same scales as well. For the cognitively impaired we have questions on a form which we answer or have caregiver's answer:
1) patient self-report Unable____ Occasionally_____ Other______
2) Physical Findings indicative of pain:
Disease Processes:______________________________________________
3) Family (caregiver) assessment:
0-10 and why____________________________________________________
4) Behaviors indicative of pain:___________________________________



Edited by Previous CPT Forum - Jul 08 2008 at 1:37pm
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Bonemarrow View Drop Down
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This is what we use in the ICU's.  The table probably won't show up like it should though you'll get the idea.
 
PHYSIOLOGICAL PAIN RATING: Modified Riley assessed & reported by Nurse, MD or approved licensed practitioners.

Behavior

0

2

4

6

8

10

Facial

Natural, calm &/or smiling

Occasional or slight frowning/ grimacing

Observed behaviors fall evenly between the ‘2’ and ‘6’ columns

Periodic frowning/ grimacing &/or clenched teeth &/or fears

Observed behaviors fall evenly between the ‘6’ and ’10 columns

Constant frowning/ grimacing &/or glassy eyes

Body Movement & Posture

Calm, Quiet, relaxed

Restless/fidgeting &/or slight tenseness

Moderate agitation &/or moderate tenseness &/or protective/localizing efforts

Very agitated &/or splinted breathing or protective posture, extreme tenseness

Response to movement &/or touch

Moves easily, accepts touch readily

Winces &/or suffers /protective gestures when touched/moved

Moans &/or

resists when moved/touched

Cries out &/or resists strongly when moved or touched

Verbal/Vocal (not intubated)

Verbalizes in normal tone or no sound

Sighs/groans/ moans softly &/or complaining

Sighs/groans/ moans loudly &/or weeping

Cries/sobs &/or frequent moan/groan or silent

Sleep Modifier: If the patient is noted to have a disturbed sleep pattern (very short or restless periods of sleep, or prolonged sleep, or appears very fatigues when awake), add 2 points to the total score.

Debilitations Modifier: If the patient is in an extremely weakened state, add 1 point to the total score. Document highest score 0-10. Vital signs can be considered but are not always reliable.

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Stephen View Drop Down
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Ive always used the 0-10 scale but that table looks good too, im printing it off now for later perusal
Heel Pain Portland
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