The way we ask for someone's pain level?
- 3Jun 10, '13 by cmav8I've come across patients, usually post op, that needs to be routinely assessed on their pain levels.
Now I'm trying to look for a way to ask them on their pain level without planting into their minds the idea that they're actually feeling pain. Of course we can plan a response from their report, but we might be addressing pain that is actually not present in that moment.
Can we ask a general question of "how are you feeling right now?", instead of "are you feeling any pain right now?" Should we be direct or indirect in these kind of situations?
Is that possible? Thanks for your time!
- 5Jun 10, '13 by jadelpn GuideThis is one of those "it depends" kind of answers! LOL!
What do your orders say? If patient's pain is 1-3 give xyz, 4-7 qrs and 8-10 tuv?
Some of the education that patients receive is that they need to be mindful of their pain before it becomes unmanageable. Pain is also subjective. You need to both assess for pain, then follow up to be sure that their pain is well controlled after your intervention. So there's no way "around" asking outright.
And that is OK. Pain post-op is real, should be medicated, and needs to be.
Bottom line--always follow your orders for pain control.
- 2Jun 10, '13 by JUSTanLPNI'm this litigious day and age, I'd flat out ask if you're hurting ANYWHERE, does it radiate, quality, etc...it's not often, however, complications that can come from within(Eg. Cannot be seen with eye) Might manifest as pain that radiates to left shoulder. That would be something I'd want to catch up front.
- 1Jun 10, '13 by classicdame GuideInstead of using the word "pain", substitute with "comfort". Since the verbal pain scale is so subjective, turn it around.
"On a scale of 0 -10, with 10 being Very Comfortable, how comfortable are you now?" If the number is low, medicateLast edit by classicdame on Jun 10, '13 : Reason: spelling error
- 5Jun 10, '13 by nrsang97I flat out ask "Are you having any pain at this time anywhere?" . Where is the pain, number on 1-10 scale, radiation, etc. Give available meds and re assess pain within say 30 minutes. If they aren't better then I see what else is available and if nothing else is I call for additional meds.
- 1Jun 10, '13 by Rhi007It's a judgement call, one persons 5 might be another's 10...different people have different pain thresholds...mine is inhumanly high, I just about have to be dying to say 10....also use body language if they grimace when they move that's an indication of pain, some patients don't want to put you out by saying yes they have pain so always ensure you tell them it's your job to make sure they're comfortable so not to be afraid of letting you know.
- 5Jun 10, '13 by PediatricjoI ask "are you having any pain?" or "what is your pain level?" I also encourage the alternative measures such as repositioning, warm pack, cold pack, ambulation, etc. Remember though, a patient's pain is their perception, not yours.