*TS: 5 Sure-Fire Methods: Screening Behavioral Health Care Patients for Physical Pain (PDF/QV) [REF: BHC, RN, Tool] The Source, February 2016, Vol 14, #2, Pg 2 JCs1602_B2 This article focuses on organizations surveyed under the BHC standards. As such, a few of its 5 recommendations have long ago been adopted by most psychiatric hospitals. Still, recommendation #2 that organizations “determine a (clearly defined) pain level at which individuals will be consistently referred for pain assessment” is worth underscoring. The authors also provided the following resources:
Tip1: Make sure there is a clearly defined pain level at which a more in depth pain assessment will be triggered. |
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TOC for Pain as the 5th Vital Sign Toolkit:
Section 4: The Pain Screening Process 13
• Keys to Successful Pain Screening 13
• The Numeric Rating Scale (NRS) 13
• Tips for Successful Use of the Numeric Rating Scale 14
• Suggested Script and Answers to Questions Patient’s Frequently Ask 15
• Alternatives to the Numeric Rating Scale 16
• When to Screen for Pain 17
• Documenting Pain Scores 17
• Interpreting Pain Scores 18
Section 5: Comprehensive Pain Assessment 20
• Assessing the “Person with Pain” 20
• Overview of the Comprehensive Pain Assessment Process 20
• Components of the Comprehensive Pain Assessment Interview 21
• Documenting the Comprehensive Pain Assessment 21
• Footnotes in Sections 1 through 5 22
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Components of the Comprehensive Pain Assessment Interview
In assessing pain, important questions to ask include, but are not limited to, the following:
· Are you having pain now?
· Where is your pain?
· What does it feel like?
· Is the pain always there? Does the pain come and go?
· How long have you had the pain?
· What makes the pain better?
· What makes the pain worse?
· Are you experiencing any other symptoms?
· How does the pain affect your activity, sleep, appetite, mood, social functioning and
relationships, energy, and overall quality of life?
· On a scale of 0 to 10, what number represents your (functional) tolerable level of pain?