Pain Assessment: Difference between revisions
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'''Original Editor '''- [[PPA Project|The PPA Project]] | '''Original Editor '''- [[PPA Project|The PPA Project]] | ||
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== What we need to know for assessing Pain == | |||
The following is from the IASP Curriculum Outline on Pain for Physical Therapy<ref>[http://www.iasp-pain.org/Content/NavigationMenu/GeneralResourceLinks/Curricula/Therapy/default.htm IASP Curriculum Outline on Pain for Physical Therapy]. Task Force Members: Helen Slater, Kathleen Sluka, Anne Söderlund, Paul J. Watson</ref>: | |||
#Recognize the differences between acute and chronic pain and the implications for assessment and management of the patient. | #Recognize the differences between acute and chronic pain and the implications for assessment and management of the patient. | ||
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#*Cognitive | #*Cognitive | ||
#*Physiological | #*Physiological | ||
#*Behavioral | #*Behavioral | ||
#Recognize strengths and limitations of commonly used measures for different pain dimensions: | #Recognize strengths and limitations of commonly used measures for different pain dimensions: | ||
#*Self-report measures as "accepted standard" not gold standard | #*Self-report measures as "accepted standard" not gold standard | ||
#*Physical performance measures including Functional Capacity Evaluations (FCEs) | #*Physical performance measures including Functional Capacity Evaluations (FCEs) | ||
#*Physiological/autonomic response measures | #*Physiological/autonomic response measures | ||
#Modify pain assessment strategies to match inherent variability associated with the patient's clinical presentation: | #Modify pain assessment strategies to match inherent variability associated with the patient's clinical presentation: | ||
#*Individual factors (e.g. age, sex, etc.) | #*Individual factors (e.g. age, sex, etc.) | ||
Line 24: | Line 26: | ||
#*Clinical characteristics of pain (e.g. duration, anatomical location, etc.) | #*Clinical characteristics of pain (e.g. duration, anatomical location, etc.) | ||
#*Pain type and state (e.g. neuropathic pain, cancer pain, etc.) | #*Pain type and state (e.g. neuropathic pain, cancer pain, etc.) | ||
#*Vulnerable populations (e.g. communication barriers, cognitive impairment etc.) | #*Vulnerable populations (e.g. communication barriers, cognitive impairment etc.) | ||
#Interpret, critically appraise (reliability, validity, and responsiveness), and implement available pain assessment instruments for: | #Interpret, critically appraise (reliability, validity, and responsiveness), and implement available pain assessment instruments for: | ||
#*Screening for the development of chronic conditions | #*Screening for the development of chronic conditions | ||
#*Identifying accepted patient subgroups for application of treatment | #*Identifying accepted patient subgroups for application of treatment | ||
#*Determining clinical relevance and/or magnitude of patient outcomes | #*Determining clinical relevance and/or magnitude of patient outcomes | ||
#Understand the need to monitor and review the effectiveness of treatment/management and modify treatment and management strategies appropriately. | #Understand the need to monitor and review the effectiveness of treatment/management and modify treatment and management strategies appropriately. | ||
#Understand the need to refer to relevant health professional as appropriate and in a timely manner. | #Understand the need to refer to relevant health professional as appropriate and in a timely manner. | ||
== Resources == | |||
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | == Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == |
Revision as of 14:58, 25 June 2012
Original Editor - The PPA Project
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
What we need to know for assessing Pain[edit | edit source]
The following is from the IASP Curriculum Outline on Pain for Physical Therapy[1]:
- Recognize the differences between acute and chronic pain and the implications for assessment and management of the patient.
- Emphasize performance of a comprehensive assessment using reliable and validated tools in the acute pain phase to prevent the onset of chronicity.
- Use a biopsychosocial approach for assessment of pain and disability as it accounts for the multidimensional nature of pain in domains relevant to physical therapy practice.
- Account for the multidimensional nature of pain by including appropriate assessment measures for primary domains including:
- Sensory
- Affective
- Cognitive
- Physiological
- Behavioral
- Recognize strengths and limitations of commonly used measures for different pain dimensions:
- Self-report measures as "accepted standard" not gold standard
- Physical performance measures including Functional Capacity Evaluations (FCEs)
- Physiological/autonomic response measures
- Modify pain assessment strategies to match inherent variability associated with the patient's clinical presentation:
- Individual factors (e.g. age, sex, etc.)
- Sociocultural influences (e.g. spirituality, ethnicity, etc.)
- Clinical characteristics of pain (e.g. duration, anatomical location, etc.)
- Pain type and state (e.g. neuropathic pain, cancer pain, etc.)
- Vulnerable populations (e.g. communication barriers, cognitive impairment etc.)
- Interpret, critically appraise (reliability, validity, and responsiveness), and implement available pain assessment instruments for:
- Screening for the development of chronic conditions
- Identifying accepted patient subgroups for application of treatment
- Determining clinical relevance and/or magnitude of patient outcomes
- Understand the need to monitor and review the effectiveness of treatment/management and modify treatment and management strategies appropriately.
- Understand the need to refer to relevant health professional as appropriate and in a timely manner.
Resources[edit | edit source]
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ IASP Curriculum Outline on Pain for Physical Therapy. Task Force Members: Helen Slater, Kathleen Sluka, Anne Söderlund, Paul J. Watson