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Pain Management Nancy St. Sauver, RN, MA Lac Qui Parle Health Network Minnesota

Pain Management Nancy St. Sauver, RN, MA Lac Qui Parle Health Network Minnesota. Long Term Care Medicine – 2011  March 24-27, 2011  Tampa, Florida. Faculty Disclosures:. Nancy St. Sauver has disclosed that she has no relevant financial relationship(s). . Consortium Demographics.

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Pain Management Nancy St. Sauver, RN, MA Lac Qui Parle Health Network Minnesota

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  1. Pain Management Nancy St. Sauver, RN, MA Lac Qui Parle Health Network Minnesota Long Term Care Medicine – 2011March 24-27, 2011Tampa, Florida

  2. Faculty Disclosures: Nancy St. Sauver has disclosed that she has no relevant financial relationship(s).

  3. Consortium Demographics • Lac Qui Parle Health Network • Appleton Area Health Services • Johnson Memorial Health Services • Madison Lutheran Home

  4. Learning Objectives: By the end of the session, participants will be able to: • Identify staff educational requirements to understand the importance of pain management. • Recognize the effects of chronic pain • Identify the components of assessing pain • Understand how alternative treatments can improve pain management

  5. The starting point • Minnesota Quality Indicator Report • Residents with moderate to severe pain • Consortium member facilities received poor scores • 2-year project • Goal – improve score of residents with moderate to severe pain by 20% over the term of the project

  6. Methodology • Education • Physicians • Residents • Families • Nursing Home Staff • Assessment • Interventions

  7. Education • Barriers to recognizing pain • Myths in pain management • Chronic pain misconceptions • Cultural and social barriers • Effects of chronic pain • 3 R’s • Recognize • Report • Respond

  8. Assessment • Baseline/history • Cognitively intact • Cognitively impaired • Interference with daily activities

  9. Baseline/history • Diagnoses related to pain • Usual manner of expressing pain • Interventions used in the past • Success or Failure of past interventions

  10. Cognitively Intact Assessment • Manner of expressing pain • Symptoms related to pain • Pain medication • Location • Onset • Frequency • Description of pain • Causes of pain • Methods of relieving pain

  11. Cognitively Impaired Assessment • Observation and Listening • Breathing • Vocal Sounds • Facial Expression • Body Language

  12. Interference with Daily Activities • Getting into bed • Turning in bed • Transferring bed to chair/chair to bed • Sitting in chair • Dressing • Eating • Standing • Walking • Bathing

  13. Interventions • Pain medication • Alternative treatments • Warmth • Cold • Music • Positioning • Massage • Aromatherapy

  14. Results Goal: 20% Improvement Results: 36% Improvement

  15. Questions? ???

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