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Pain management

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wcmc

This document outlines the pain management policy of WCMC. It states that all patients will have their pain assessed initially and frequently reassessed to ensure optimal pain relief. Patients will receive education on pain treatment and have their response to treatment assessed. Staff are responsible for informing patients of their right to pain management. Various pain assessment scales are used for different patient populations.

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Pain Management It is the policy of WCMC to respect and support the patient’s right to optimal pain assessment and management  Pain is assessed in all patients  Optimal management of pain enhances healing and promotes both physical and psychological well being  It is the responsibility of all staff members to inform patients of their right to pain management  Patients will have their pain assessed frequently and reassessed for relief of pain, and have their response to treatment assessed
Pain Management (continued) All patients entering this facility for admission or observation receive:  An initial pain assessment  Detailed history and physical to include pain status  Psychosocial assessment to include cultural implications  Education on treatment of pain  Reassessment of pain  Discharge planning on pain management  A thorough physical exam that documents all sites of pain
Pain Management (continued)  Reassessment of pain is an ongoing process for all patients  Patients are assessed for pain with assessments and with hourly rounding during the day and two hour rounding at night  If patient has a complaint of pain then patient’s pain is treated appropriately  After treatment the patient is reassessed for pain relief  The patient’s vital signs are also reassessed within 30 minutes to 1 hour after medication is given and this is documented  The patient's pain is also assessed PRN as their condition warrants  All assessments and reassessments are charted on the appropriate unit specific form or via the computer
Pain Management (continued)  Surgery patients are reassessed every two hours post- op for the first 24 hours  The FLACC (Face, Legs, Activity, Cry, and Consolability) pain scale is used on cognitively impaired patients  The FLACC pain scale is also be used for pediatric patients that are unable to validate or quantify the severity of their pain • Pain is assessed to understand how much a child is experiencing and to understand if what is being done is working - Information is provided to parents to help them identify the child’s pain

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Pain management

  • 1. Pain Management It is the policy of WCMC to respect and support the patient’s right to optimal pain assessment and management  Pain is assessed in all patients  Optimal management of pain enhances healing and promotes both physical and psychological well being  It is the responsibility of all staff members to inform patients of their right to pain management  Patients will have their pain assessed frequently and reassessed for relief of pain, and have their response to treatment assessed
  • 2. Pain Management (continued) All patients entering this facility for admission or observation receive:  An initial pain assessment  Detailed history and physical to include pain status  Psychosocial assessment to include cultural implications  Education on treatment of pain  Reassessment of pain  Discharge planning on pain management  A thorough physical exam that documents all sites of pain
  • 3. Pain Management (continued)  Reassessment of pain is an ongoing process for all patients  Patients are assessed for pain with assessments and with hourly rounding during the day and two hour rounding at night  If patient has a complaint of pain then patient’s pain is treated appropriately  After treatment the patient is reassessed for pain relief  The patient’s vital signs are also reassessed within 30 minutes to 1 hour after medication is given and this is documented  The patient's pain is also assessed PRN as their condition warrants  All assessments and reassessments are charted on the appropriate unit specific form or via the computer
  • 4. Pain Management (continued)  Surgery patients are reassessed every two hours post- op for the first 24 hours  The FLACC (Face, Legs, Activity, Cry, and Consolability) pain scale is used on cognitively impaired patients  The FLACC pain scale is also be used for pediatric patients that are unable to validate or quantify the severity of their pain • Pain is assessed to understand how much a child is experiencing and to understand if what is being done is working - Information is provided to parents to help them identify the child’s pain