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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3b.docx
January 01, 2006 - Upon entering the room, tell the patient you are there to do your rounds.
1
Assess patient pain levels … using a pain-assessment scale (if staff other than RNs are doing the rounding and the patient is in … pain, contact an RN immediately so the patient does not have to use the call light for pain medication
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/49-multimodal-analgesia.pptx
June 01, 2023 - Single-Dose Analgesics
Multimodal Analgesia Tips 5
*Number needed to treat for at least 50 percent maximum pain … commonly administered in subhypnotic fashion as infusion for patients with opioid tolerance or refractory pain … Single dose oral analgesics for acute postoperative pain in adults - an overview of Cochrane reviews. … Perioperative use of gabapentinoids for the management of postoperative acute pain: a systematic review … Postoperative multimodal analgesia pain management with nonopioid analgesics and techniques: a review
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-213-section-5-table-4.pdf
January 01, 2012 - renal and spleen function, subjects receiving 2011; 377(9778): 1663‐
the drug had few episodes of pain … hydroxyurea therapy in children and
adolescents are HbSS (SCA) or SCD‐S β0‐
thalassemia and frequent pain … Endpoints
include less pain, an increase in HbF to 15%‐
20%, increased hemoglobin level if severely … hydroxyurea increases
HbF levels, decreases leukocyte counts, and
decreases the frequency of episodes of pain … How I use
overview and pain or acute chest syndrome as young as 2 hydroxyurea to treat
guidelines years
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-guide.docx
September 01, 2022 - SAY:
This patient has sinusitis based on the clinical presentation of nasal discharge and facial pain … Patients may also report nasal congestion, reduced or absent sense of taste or smell, headache, ear pain … or pressure, bad breath, dental pain, and fatigue. … Note that the presence of low-grade fever, facial or dental pain, or colored nasal discharge are not … Her sinus pain has become more severe.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sinusitis-slides.pptx
September 01, 2022 - year-old female with 3 days of headache, cough, subjective fever, yellow nasal discharge, and facial pain … 1,2
Common symptoms:
Purulent nasal discharge
Facial pain or pressure
Nasal congestion
Reduced sense … of taste or smell
Headache
Ear pain or pressure
Bad breath
Dental pain
6
Sinusitis
AHRQ Safety … days without improvement
3-4 days of fever ≥ 102°F and either purulent nasal discharge or facial pain … The presence of low-grade fever, facial or dental pain, and the color of nasal discharge are not accurate
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ce.effectivehealthcare.ahrq.gov/sites/default/files/2024-01/fairbanks-report.pdf
January 01, 2024 - Inadequate powerful Pain Treatment
of Severe Pain in the ED. … Treatment of Pain in the Emergency Department
OBJECTIVES: Treatment of pain is an important quality … of severe pain in the ED. … Patients with severe pain (defined as initial pain score ≥8/10) were included for analysis. … The highest rate of pain treatment was in the critically ill population, both for any pain med (83%)
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/ambulatory/6bb-self-assess-tool.pdf
December 22, 2021 - …is rarely visible, and
communication about
of opioids for patients
chronic pain is ad hoc
informal … reflect evidence-based
guidelines, such as the CDC
Guideline for Prescribing Opioids
for Chronic Pain … • Duration and dose of opioids for chronic pain
• Use of nonopioid and nonpharmacologic therapies … Chronic care plan* templates
for chronic pain management…
…do not exist. … agree will be used to manage the patient’s pain.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallpxtoolkit/fallpxtool3n.docx
January 01, 2008 - adults, the scores follow:
Activity Score
Eye opening
None
1 = Even to supraorbital pressure
To pain … 2 = Pain from sternum/limb/supraorbital pressure
To speech
3 = Nonspecific response, not necessarily … to command
Spontaneous
4 = Eyes open, not necessarily aware
Motor response
None
1 = To any pain … response
3 = Withdrawal response or assumption of hemiplegic posture
Withdrawal
4 = Arm withdraws to pain … , shoulder abducts
Localizes pain
5 = Arm attempts to remove supraorbital/chest pressure
Obeys
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.docx
October 01, 2016 - F (37°C) AND at least one of the following:
New or worsening:
Urgency, or
Frequency, or
Suprapubic pain … No fever, then two or more of the following:
Urgency, or
Frequency, or
Suprapubic pain, or
Gross hematuria … temperatures of 99°F (37°C), or
New or worsening costovertebral tenderness, or
New onset suprapubic pain … following:
For discomfort or prior to cleaning/dressing changes, consider using acetaminophen or other pain … For discomfort, consider using acetaminophen or other pain reliever.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/tools/surgery/44-sample-pathway-checklist.docx
June 01, 2023 - · Yes
· No
Pre-anesthesia multimodal pain management given? … First postoperative VTE chemoprophylaxis dose
Date:
Time:
· Yes
· No
Multimodal pain management … · Yes
· No
Medications prescribed/recommended for postdischarge pain management? … [Fill in medications that are prescribed/recommened for postdischarge pain management from your pathway … e.g., acetaminophen, ibuprofen)]
· Yes
· No
· N/A
If opioids were prescribed for postdischarge pain
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/6_TK1_T5-Suspect_a_Urinary_Tract_Infection_brochure_MA_Coalition_final.pdf
June 18, 2015 - both is
important, because bacteria can and do live naturally in the bladder
without causing any pain … »a burning feeling, discomfort or pain with urination.
»pain in the lower abdomen or back.
» increase
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/identifying-delirium.pdf
June 01, 2021 - CAUSES OF DELIRIUM
COMMON SYMPTOMS
• Sleep
deprivation
• Dehydrati
•
• Pain … sleep at night, activity during day
CORRECT SENSORY DEFICITS
• Eyeglasses
• Hearing aids
• Pain
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/poster-4x6-delirium.pdf
June 01, 2021 - difficult to arouse
CAUSES OF DELIRIUM
• Sleep deprivation
• Dehydration
• Medications
• Pain … CORRECT SENSORY DEFICITS
• Eyeglasses
• Hearing aids
• Pain management
• Good lighting
4.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-15-presenting-data.pdf
September 01, 2015 - , joint swelling, joint stiffness, joint pain
Skin: denies rashes, itching, lumps, sores, lesions, color … Musculoskeletal: denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes … , dysphagia, nausea, vomiting, diarrhea, constipation
Musculoskeletal: denies back pain, joint swelling … Musculoskeletal: denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes … : denies back pain, joint swelling, joint stiffness, joint pain
Skin: denies rashes, itching, lumps,
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK3_T1-Sample_Policy_final.pdf
October 01, 2016 - at least one
of the following:
New or worsening:
– Urgency, or
– Frequency, or
– Suprapubic pain … No fever, then two or more of the following:
– Urgency, or
– Frequency, or
– Suprapubic pain, or … temperatures of 99°F (37°C), or
• New or worsening costovertebral tenderness, or
• New onset suprapubic pain … following:
• For discomfort or prior to cleaning/dressing changes, consider using acetaminophen or
other pain … • For discomfort, consider using acetaminophen or other pain reliever.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Maddox_111.pdf
June 18, 2008 - that health care professionals’ concern about opioid-related RD
is one of the barriers to adequate pain … Management and Efficiency
Pain management. … Pain management. Tools for implementing JCAHO’s
new standards. … Available at:
http://mkeamy.typepad.com/anesthesiacaucus/2007/08
/pain-the-sixth-.html. … Optimizing postoperative pain
management.
-
ce.effectivehealthcare.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-pediatric-safety-2.html
August 01, 2023 - far more likely to be associated with benign rather than serious illness (e.g., fever or abdominal pain … For example, abdominal pain is one particularly common and challenging chief complaint given its broad … ages 4-18 years found that 9 percent of patients attended at least one acute care visit for abdominal pain … clinicians treating children may hesitate to order certain tests to avoid adding to their patients’ pain … used to direct a medical evaluation and enhance differential diagnoses in CMC patients presenting with pain
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - Patients with chest pain and anaphylaxis were selected as the target populations. … Create
• Chest pain worksheet to match the standing orders. … He’s been
having chest pain for hours and just wouldn’t go to the hospital.” … Use chest pain standing orders if MD not
available. … and chest pain
worksheet continue to be used.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-5.8.pdf
January 01, 2014 - Patient perception of
pain care in hospitals in
the United States. … Patients’ perception of their pain care and
their reported level of pain relief varied
significantly … relief and satisfaction with
pain care. … All of the patients
had reported pain levels ≥4 on a scale of
0 to 10 or pain in the past 2 weeks which … pain
concerns more.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-compendium-self-assessment-instructions.pdf
December 01, 2023 - care practices that want to improve their clinical management of older adult patients
with chronic pain … delivery areas
were identified for improving how organizations manage opioid medications and chronic pain … Nonpharmacologic Pain Management
7.