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Pain Assessment

Pain Assessment. Dr Leon Malzinskas SMO BCRH Wonthaggi Hospital. Sensory and emotional experience associated with actual or potential tissue damage. Pain Definition. Acute Nociceptors and Neuropathic pain Surgical pain. Post operative pain. Delays post op recovery Increases morbidity

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Pain Assessment

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  1. Pain Assessment • Dr Leon Malzinskas • SMO BCRH Wonthaggi Hospital

  2. Sensory and emotional experience associated with actual or potential tissue damage Pain Definition

  3. Acute Nociceptors and Neuropathic pain Surgical pain Post operative pain

  4. Delays post op recovery Increases morbidity Delays return to normal function Restricts mobility -> thromboembolism Catecholamine release Pulmonary dysfunction Why is control important

  5. Pre op prediction Post op subjective assessment Post op objective assessment Assessment

  6. Past medical and surgical history Current Rx (prescribed and illicit) Allergies Past pain history and treatments Patients expectations of pain Advice re pain Mx and modes of delivery How we measure pain and patients reporting Pre op assessment

  7. Pain scales - single dimensional and multi dimensional Subjective assessment

  8. Look at the patient Physiological parameters Functional parameters Objective

  9. Response to therapy Outcomes assessment

  10. Pre op assessment Prediction of pain Preempt with preventative Rx Assess post op subjectively and objectively Treat with appropriate Rx Assess response Modify Mx Practicalities

  11. Preop assessment Knowledge of surgery Simple and quick assessment tools Outcome assessment regularly Summary

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