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    Pain Assessment in Older Adults Post Viewing Report

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    Liam Henry
    This document contains a pain assessment report for an older adult patient named Liam Henry. It discusses several key points: 1) It identifies three common pain assessment scales - the Numeric Rating Scale, Verbal Descriptor Scale, and Revised Faces Pain Scale. 2) The biggest challenge with pain assessment tools in older adults is ensuring consistent use through integration into existing documentation. 3) The Pain AD scale is described for assessing pain in dementia patients, with its five components of breathing, vocalization, facial expressions, body language, and consolability. 4) For a patient who denies pain but shows subtle signs, the next step would be further assessment through questions, records review, or asking family

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    Pain Assessment in Older Adults Post Viewing Report

    Uploaded by

    Liam Henry
    31 views2 pages
    This document contains a pain assessment report for an older adult patient named Liam Henry. It discusses several key points: 1) It identifies three common pain assessment scales - the Numeric Rating Scale, Verbal Descriptor Scale, and Revised Faces Pain Scale. 2) The biggest challenge with pain assessment tools in older adults is ensuring consistent use through integration into existing documentation. 3) The Pain AD scale is described for assessing pain in dementia patients, with its five components of breathing, vocalization, facial expressions, body language, and consolability. 4) For a patient who denies pain but shows subtle signs, the next step would be further assessment through questions, records review, or asking family

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    This document contains a pain assessment report for an older adult patient named Liam Henry. It discusses several key points: 1) It identifies three common pain assessment scales - the Numeric Rating Scale, Verbal Descriptor Scale, and Revised Faces Pain Scale. 2) The biggest challenge with pain assessment tools in older adults is ensuring consistent use through integration into existing documentation. 3) The Pain AD scale is described for assessing pain in dementia patients, with its five components of breathing, vocalization, facial expressions, body language, and consolability. 4) For a patient who denies pain but shows subtle signs, the next step would be further assessment through questions, records review, or asking family

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    31 views2 pages

    Pain Assessment in Older Adults Post Viewing Report

    Uploaded by

    Liam Henry
    This document contains a pain assessment report for an older adult patient named Liam Henry. It discusses several key points: 1) It identifies three common pain assessment scales - the Numeric Rating Scale, Verbal Descriptor Scale, and Revised Faces Pain Scale. 2) The biggest challenge with pain assessment tools in older adults is ensuring consistent use through integration into existing documentation. 3) The Pain AD scale is described for assessing pain in dementia patients, with its five components of breathing, vocalization, facial expressions, body language, and consolability. 4) For a patient who denies pain but shows subtle signs, the next step would be further assessment through questions, records review, or asking family

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    © All Rights Reserved
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    of 2

    Name: __Liam Henry_________________________________________

    NUR 360 – Nursing Care of Older Adults


    Pain Assessment in Older Adults Post Viewing Report

    Pain Assessment in Older Adults:

    1. Is pain a normal part of the aging process? Explain your answer.


    Pain is not a normal part of the aging process. It can certainly be associated
    with issues such as osteoarthritis, but the pain can be managed. With a plan made
    for patients or people who have pain when they are older, their pain managed
    through medication, therapy, etc.

    2. Identify the 3 pain assessment scales that were identified in the video and fill in
    the table below:

    Name of Pain Assessment Scale Description of tool; how does a nurse use
    it to assess pain?
    1. Numeric Rating Scale Asks patients to rate their pain on a scale
    of 0 to 10. 0 being no pain at all, and 10
    being the worst pain imaginable. Pain
    upwards of 7 is usually given immediate
    intervention
    2. Verbal Descriptor Scale Asks patients to rate their pain whether it
    is mild, moderate, severe or the worst pain
    that is can be. Then you quantify their
    responses so you can still use a 0-10 scale
    3. Revised Faces Pain Scale Nurse has a card with a visual image of
    faces of varying degrees of grimaces. From
    0-10, 0 being happy and 10 being strong
    grimace. Ask patients to select face that
    best describes face of what they are feeling

    3. What is the biggest challenge of using any of the self-report tools listed above,
    to assess pain levels in an older adult patient? What can help with this
    challenge?
    The challenges in uses any self-reporting pain assessment tool is having clinicians
    consistency use a standardize approach to their assessment. You can help this by
    trying to embed the screening and the assessment into currently existing policies and
    procedures, into standardized tools that the nurses are using so that nurses are using
    standardized monthly progress notes or admission forms. You would want to be sure

    1
    Name: __Liam Henry_________________________________________

    to include that because if it is not a part of the routine of a nurse, then you would have
    these assessments/screenings fall off.

    4. Describe the Pain AD scale and how it can be used to assess pain in patients
    with dementia? What are the 5 components of this scale and briefly explain
    each:
    The pain AD scale is a pain assessment for advanced dementia that can be
    used to assess pain in patients with dementia when moving their body or giving
    care when you might likely stimulate pain you can observe the patient and see
    what pain level they might be at. The first component is breathing independent of
    vocalization, with this you might look for rapid breathing, holding breath, etc. The
    second is negative vocalization such a moaning, yelling out, crying, swearing, etc.
    The third is facial expression, for example people that might be grimacing or
    scowling, any face of distress. The fourth is body language, which can be
    described as being very tense, fidgeting, etc. The fifth one is consolability which
    can be described as being able to be distracted by efforts to comfort them or are
    they consolable such as continuing crying or in pain. Each item is scaled 0, 1 or 2
    with 0 being normal behavior and 1 or 2 depending on how much of the behaviors
    are being shown. The total score adds up to 10.

    5. You are assigned to a 79-yr old patient who denies that they have any pain.
    You assess several subtle non verbal signs that indicate pain. What would be
    your next step?
    My next step would be to try to dig deeper and ask more questions or do
    more evaluations and assessments to make sure that I am giving the best care
    possible and that the patient is doing okay. Maybe looking into their records or
    even asking family members how they normally deal with pain to get a better
    understanding of what they are actually experiencing.

    6. In patients with dementia, why is it important not to dismiss usual behaviors in


    patients as “normal”? Have you seen this happen in the hospital or nursing
    home?
    This is dangerous because some of these “normal” behaviors could actually
    mean that the patient is having pain. I have seen this in the hospital
    unfortunately.

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