Pain Assessment: Difference between revisions
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== What we need to know for pain assessment and measurement == | == What we need to know for pain assessment and measurement == |
Revision as of 16:23, 14 June 2013
Original Editor - The PPA Project
Lead Editors
What we need to know for pain assessment and measurement[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]
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- ↑ IASP Curriculum Outline on Pain for Physical Therapy. Task Force Members: Helen Slater, Kathleen Sluka, Anne Söderlund, Paul J. Watson