I am an APRN on the Acute pain service at a major teaching hospital. We are interested in using a functional pain scale for our patients. We are tired of people telling us 10/10 pain while they are smiling and eating their breakfast. Anyone have a validated or unvalidated scale they use in acute care?[/QUOTE]
We are presently trying to combine the traditional (useless) 1-10 pain scale in the ED, with some type of Objective information from the nurse. We are considering using the Adult non-verbal pain scale. Our hospital is in process for Magnet Status survey. We feel this would be a great show of our Magnet "mindset" if we tried to come up with something more use-able. However, our management thinks we need to "stay in the box" and just write what the patient says. We presently arrive patients with "10" and discharge them with "10" without any intervention: this tells me the present system has no credibility with healthcare workers. Anyone doing anything like this? Combining subject and objective? And what kind of "evidence" based information are you collecting?