Manual: Pain Management Policy and Procedure Manual (Ver 2) External Reference: (JCAHO PC.8.10, MM.6.10)
MCN’s customizable template, Behavioral-Physiological Pain Scale for Non-Verbal or Pre-Verbal Patients, is taken from our Pain Management Policy and Procedure Manual. MCN Healthcare’s proven policy and procedure templates, competencies and compliance tools have assisted more than 20,000 health care organizations worldwide meet their regulatory compliance goals. MCN provides more than 80 health care specific policy and procedure manuals for Acute Care Hospitals, Ambulatory Care, Behavioral Health, Home Health, Physician Practice, and Long Term Care. MCN’s policy and procedure manuals focus on the latest healthcare "hot topic" issues related to patient safety and prevention of medical healthcare errors. Here is some sample content from Behavioral-Physiological Pain Scale for Non-Verbal or Pre-Verbal Patients:
| | BEHAVIORAL-PHYSIOLOGICAL PAIN SCALE FOR
NON-VERBAL OR PRE-VERBAL PATIENTS
Score
Assessment Guideline
No Signs of Irritability or Pain Exhibited
+
Signs of Irritability
Intermittent vocalizations, soft or brief cry but able to suck or feed
Increased activity of extremities, restless, purposeless movements but trunk is relaxed
Frowning, furrowed brow, eyes open
Mildly increased tone of extremities
Increased arousability, more awake than usual
Unexplained mild changes in respiratory pattern, HR and BP
++
Signs of Pain
Loud cry, sustained attempts to cry
Refuses to feed, eat and/or... |
| Second excerpt: |
| | ...patient may be experiencing pain and not show any of the behaviors listed above. Whenever pain is suspect, pain medication may be indicated.
References:
Broome, M 1990 Differentiating Between Pain and Agitation in Premature Neonates. Journal of Perinatal and Neonatal Nursing pp 53-60.
Halsinski, MF 1992 Assessment and Management of Pain in Children. In MF Halsinski Nursing Care of the Critically Ill Child pp 80-83, St. Louis: Mosby.
Watson, J et al 1992 Clinical Judgment in Assessing... |
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