Pain Assessment and Management
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Pain Assessment and Management
Scenario: Jai’s ankle
Jai, 16, rolled an ankle during a weekend football match. At a clinic, Jai says the pain is “about a 6 out of 10” when standing and “about a 3” while sitting. Jai is worried about missing an upcoming match. The health professional asks when the pain began, what makes it better or worse, and whether it affects sleep or walking. Jai’s family speaks another language at home, and Jai sometimes finds medical words confusing. The professional checks understanding, explains the next steps and arranges a review. Later, Jai says the pain has increased.
Understand and assess pain
- Ignore the ratings because they changed.
- Ask Jai to describe the pain, when it occurs and how it affects activities.
- Decide how much pain Jai has by looking at their face only.
- Tell Jai that a 6 is not a serious rating.
Plan, communicate and review
- Listening to Jai describe the pain
- Noting a change in walking or guarding the ankle
- Asking when the pain began and what changes it
- Checking how the plan is working later
- Observation
- Review
- Focused questions
- Self-report
- Reassess and tell the responsible health professional so the plan can be reviewed.
- Suggest Jai take an extra dose of any available medicine.
- Assume the increase is caused by worry and do nothing.
- Wait until the next day before mentioning it.
- Jai’s reported pain ratings and what activities affect them
- When the pain changed and what Jai said about it
- Relevant strategies or care already provided and their effect
- A guess about Jai’s pain based only on appearance
- Any concerns shared by Jai that affect the care plan
3 printable pages
Page 1
Page 2
Page 3
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