sherpath: Pain
Management:
Implement and Take
Action; Evaluate with
100% correct answers
pain treatment thought process - answer 1. hypothesis
2. patient outcome
3. take action/intervention
1. Hypothesis example - answer Acute Pain (relevant cues:
surgical repair of fractured arm, reported pain of 10 on 0 to 10
pain scale, pain with movement, request for pain medication)
,2. Patient Outcome example - answer Patient will report a pain
level of less than 3 on a 0-10 pain scale within 3 postoperative
days.
3. Take Action/Intervention example - answer - Perform a
comprehensive pain assessment (PQRST).
- Select and implement a variety of pain management measures
(pharmacologic, nonpharmacologic, and complementary
therapies) to facilitate pain relief as appropriate.
- Evaluate the effectiveness of administered pain management
medication at regular, frequent intervals after each
administration, observing for signs and symptoms of adverse
effects or side effects, such as respiratory depression, allergic
response, or constipation.
TJC's Pain Assessment Standards - answer - Identify a leader or
leadership team responsible for pain management and safe
opioid prescribing as well as performance improvement
activities.
- Provide nonpharmacologic pain treatment modalities.
- Provide staff/licensed independent practitioners (LIPs) with
educational resources to improve pain management and safe
use of opioid medications.
, - Provide staff/LIPs with information about consultation and
referral for patients with complex pain management needs.
- Identify opioid treatment programs used for patient referrals.
- Facilitate access to the Prescription Drug Monitoring Program
database if available in your state.
- Acquire the equipment needed to monitor patients at high risk
for adverse outcomes from opioid treatment.
- Participate in the developing and reviewing protocols and
quality metrics/performance improvement data.
- Define criteria to screen, assess, and reassess pain that are
consistent with the patient's age, condition, and ability to
understand.
- Screen patients for pain during emergency department visits
and at the time of admission.
- Treat the patient's pain or refer the patient for treatment.
- Develop an evidence-based and individualized pain treatment
plan.
- Involve patients in the pain management treatment planning
process
- Monitor patients at high risk for adverse outcomes related to
opioid treatment.
- Reassess and respond to the patient's pain
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