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This document is a training module for doctors and nurses on implementing pain as the 5th vital sign in a Malaysian hospital from 2008-2010. It discusses the importance of proper pain assessment and management. The objectives are to promote better communication between doctors/nurses and patients, improve patient satisfaction and care, and help manage pain more effectively. Guidelines are provided on assessing and documenting pain at regular intervals, using scales like numerical rating or Wong-Baker faces, and treating pain per the WHO analgesic ladder.
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Concised training version
- 1. Malaysian 5 th Vital Sign Implementation: 2008-2010 5 th Vital Sign: Doctors’ training module: Intruduction DR LEE OI WAH PENGARAH HOSPITAL CHANGKAT MELINTANG
- 2. The purpose of module is to train doctors and nurses on pain assessment and pain management in order to implement pain as a 5th vital sign effectively in OUR hospital OBJECTIVE: 5 th Vital Sign: Doctors’ training module: Intruduction
- 7. Spectrum of Pain ACUTE PAIN CHRONIC PAIN ACUTE PAIN Healing NO PAIN CHRONIC PAIN Insidious onset post-surgical, post-trauma syndromes cancer 5 th Vital Sign: Doctors’ training module: Pain Physiology
- 8. Pain Pathway Free nerve endings Afferent nerve – ( A / c) Spinal cord Sensory cortex Thalamus Descending inhibitory fibres Dorsal horn PAG / RAS Ascending ST tracts Courtesy of Prof Ramani Vijayan, MASP 5 th Vital Sign: Doctors’ training module: Pain Physiology
- 10. Malaysian 5 th Vital Sign Implementation: 2008-2010 PAIN ASSESSMENT METHODS (ADULT AND PAED)
- 14. Wong-Baker Faces Pain Rating Scale 5 th Vital Sign: Doctors’ training module: Pain Assessment
- 15. FLACC SCORE 5 th Vital Sign: Doctors’ training module: Pain Assessment
- 19. Observation Chart 5 th Vital Sign: Doctors’ training module: Pain Assessment Patient’s Name : RN : DOA : Age : Ward : DATE TIME BP PULSE RESP RATE TEMP PAIN SCORE ACTION TAKEN COMMENTS
- 20. 5 th Vital Sign: Doctors’ training module: Pain Assessment FLOWCHART FOR NURSES
- 22. ANALGESIC LADDER: ACUTE PAIN MANAGEMENT 5 th Vital Sign: Doctors’ training module: Pharmacology
- 23. THANK YOU
Notas del editor
- Pain can be acute or chronic Acute pain usually heals after a while, and the patient does not have any more pain Chronic pain may begin with acute pain e.g. after an injury or accident, or surgery, and even after healing,the pain persists. Some examples are neuropathic pain after brachial plexus injury, post-thoracotomy pain, chronic abdominal pain from adhesions However many types of chronic pain begin insiduously, with no obvious precipitating event, and never goes away. Examples are chronic back pain, chronic neck pain.