Acute Care/Inpatient Rehab

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Pain Scales

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Forum Name: Acute Care/Inpatient Rehab
Forum Description: Discussion on Acute Care/Inpatient Rehab
URL: http://www.cyberpt.com/ptforum/forum_posts.asp?TID=50
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Topic: Pain Scales

Posted By: Previous CPT Forum
Subject: Pain Scales
Date Posted: Jul 08 2008 at 1:37pm

J.S.

1 Posts

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
7 Posts

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:___________________________________

Replies:

Posted By: Bonemarrow
Date Posted: Aug 18 2008 at 4:31pm

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.

Posted By: Stephen
Date Posted: Sep 28 2010 at 11:50am

Ive always used the 0-10 scale but that table looks good too, im printing it off now for later perusal

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http://www.towncenterfootclinic.com/ - Heel Pain Portland