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Multidimensional Assessment

Multidimensional Assessment. Self report/parent report Intensity Quality Pattern Aggravating / alleviating factors Medication history Meaning. Assessment. Behavioral assessment Use of scales Involve family Never dismiss a child’s report of pain based on observed behavior

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Multidimensional Assessment

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  1. Multidimensional Assessment Self report/parent report Intensity Quality Pattern Aggravating / alleviating factors Medication history Meaning

  2. Assessment Behavioral assessment Use of scales Involve family Never dismiss a child’s report of pain based on observed behavior Physiologic assessment Proxy report

  3. Reassessment of Pain Changes in pain Changes in analgesic regimen Assess consistently Use of diaries

  4. Neurologically Impaired Assessment Child may have limited self report Parent interview Pain behaviors Interventions Non-pharmacological Pharmacological Oberlander & Symons, 2006; Walco & Goldschneider, 2008

  5. Neonatal PainAssessment Tools CRIES Neonatal Postoperative Pain Measurement ScoreKrechel & Bildner, 1995 Premature Infant Pain Profile (PIPP) Stevens et al., 1996 Neonatal Infant Pain Scale (NIPS) Lawrence et al., 1993 Neonatal Pain Agitation and Sedation Scale (NPASS) Hummel & Puchalski, 2001

  6. Pain Assessment Tools Pre-verbal / nonverbal (examples) FLACC Pain Observation Scale Modified Objective Pain Score Non Communicating Children's Pain Checklist (NCCPC)

  7. Univariate Pain Intensity Scales FACES, OUCHER VAS (Visual Analog Scale) Verbal Report Scale

  8. Multivariate Tools Initial Pain Assessment Tool Brief Pain Inventory Parent / Child Total Quality Pain Instruments Neuropathy Pain Scale Adolescent Pediatric Pain Tool

  9. Communicating Assessment • Document clearly in chart • Assessment • Intervention • Re-assessment • Establish Pain Care Plans

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