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    Assessment and Classification of Pain: Yudiyanta

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    AndreHerlambang
    The document discusses the assessment and classification of pain, including determining the type of pain (nociceptic, neuropathic, dysfunctional, or mixed), intensity level (mild, moderate, or severe), any comorbidities or side effects, and the generator of the pain. A variety of tools are presented for assessing acute pain in patients able to communicate or not. Treatment options are categorized as non-pharmacological, pharmacological using pure analgesics or adjuvants, and interventional procedures.

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    Assessment and Classification of Pain: Yudiyanta

    Uploaded by

    AndreHerlambang
    26 views22 pages
    The document discusses the assessment and classification of pain, including determining the type of pain (nociceptic, neuropathic, dysfunctional, or mixed), intensity level (mild, moderate, or severe), any comorbidities or side effects, and the generator of the pain. A variety of tools are presented for assessing acute pain in patients able to communicate or not. Treatment options are categorized as non-pharmacological, pharmacological using pure analgesics or adjuvants, and interventional procedures.

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    The document discusses the assessment and classification of pain, including determining the type of pain (nociceptic, neuropathic, dysfunctional, or mixed), intensity level (mild, moderate, or severe), any comorbidities or side effects, and the generator of the pain. A variety of tools are presented for assessing acute pain in patients able to communicate or not. Treatment options are categorized as non-pharmacological, pharmacological using pure analgesics or adjuvants, and interventional procedures.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views22 pages

    Assessment and Classification of Pain: Yudiyanta

    Uploaded by

    AndreHerlambang
    The document discusses the assessment and classification of pain, including determining the type of pain (nociceptic, neuropathic, dysfunctional, or mixed), intensity level (mild, moderate, or severe), any comorbidities or side effects, and the generator of the pain. A variety of tools are presented for assessing acute pain in patients able to communicate or not. Treatment options are categorized as non-pharmacological, pharmacological using pure analgesics or adjuvants, and interventional procedures.

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    of 22

    Assessment and

    Classification of Pain

    Yudiyanta
    Pain

    Assessment of Disease Assessment of Pain

    Diagnosis of Disease Diagnosis of Pain

    Management of Disease Management of Pain


    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Type of Pain

    (2) (2) (2)

    Jenis Nyeri
    Signs and Symptoms of Neuropathic Pain
    Spontaneous & stimulus evoked symptoms
    Neuropathic Pain

    1. Possible neurophatic pain : Riwayat perjalanan penyakit pasien


    merupakan lesi atau penyakit yang relevan menimbulkan gejala nyeri
    dan sesuai dengan distribusi neuroanatomi saraf yang terkena
    2. Probable neurophatic pain : mencakup kriteria possible dan salah satu
    temuan :
    1. Konfirmasi tes diagnostik adanya lesi neuropati
    2. Ditemukan gejala sensorik negatif atau sensorik positif sesuai area
    neuroanatomi
    3. Definite neurophatic pain : kriteria possible dan probable (Haanpaa M., Attal N.,

    Backonja M., et al. NeuPSIG guidelines on neuropathic pain assessment. Pain 2011;152:14-27)
    1. Burning
    2. Pricking
    3. Light Touch Allodinia
    4. Electricshock like
    5. Heat Allodinia
    6. Numbness <13 13-18 > 18
    7. Mecanical Allodinia
    DYSFUNCTIONAL PAIN
    Central Projections
    of the Nociceptors

    location and intensity

    affective component of
    the pain experience

    Descending feedback
    systems

    The Inter-
    Inter-Relationship Between
    Pain, Sleep, and Anxiety /
    (Cellular and Molecular Mechanisms of Pain,
    Depression Basbaum, Bautista et al, 2009)

    Syndrome of PAIN
    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Goals
    • Level of Sensory Intensity (Acute Pain< Uni-dimensional):
    – No Pain : 0
    – Mild Pain: 1-3
    – Moderate Pain: 4-6
    – Severe Pain: 7-10

    • Level of Emotional Intensity (Chronic Pain, Multi-dimensional)


    * Tools for Acute Pain

    4/26/2019
    NRS
    Intensitas
    Nyeri YES VRS Neonatal Infant Pain Scale (NIPS)
    VAS 0 : No Pain
    1-3 : Mild
    4-5 : Moderate
    6-7 : Severe
    Pasien Mampu
    1-3 yo / Cognitive Disorder)
    Komunikasi dg
    FLACC (Face, Legs, Activity, Cry and
    Baik? Consolability)
    (Score: 0-10)

    3-8 yo
    WB/Faces Pain Scale– Photographic
    NO
    (Score 0-10/no-Very Severe)

    Sedation
    Comfort Scale
    9-17: Inadequate sedation and Pain Control
    17-26 : Adequate Sedation and Pain
    Control
    26-45: Over Sedation
    Photographic/Numeric Pain Scale
    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Comorbidity, Contraindication and Side Effect
    Gastrointestine
    Jantung
    Vascular otak
    Jaringan
    Renal perifer
    Comorbidity,
    Contraindication,
    Side Effect (Allergy) Respiratory

    Sleep & Anxiety

    Substance Abuse

    Contraindication And Side Effect (allergy)


    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Assessment of Pain

    Type of Pain Intensity of Pain Comorbidity, Allergy Generator of Pain


    & Side Effect (SAFETY)

    Nociceptic Neuropathic Disfunctional

    Mixed Pain

    Diagnosis

    Treatment
    Treatment

    Non Pharmacology Pharmacology Interventional PM

    Pure Analgetics NSAIDs Adjuvant Analgetics Opioid

    PCT Anti- Anti- Steroids Opioid Atypical


    Metampiron Ns NSAIDs Coxib Convulsant Deppresant - Opioid
    SUMMARY

    • Type of Pain : Nociceptic, Neuropathic, Dysfunctional, Mixed


    • Pain Intensity : Mild, Moderate, Severe
    • Cp-morbidity : Renal, C-CV, GI, Respiratory, Sleep, Anxiety, Abuse
    • Pain Generator
    • Side Effect and Contraindication

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