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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-trans-intakenotes.pdf
June 29, 2017 - Out of Facility
Cardiac/Circulatory/Blood
Anemia
Cardiac arrest
Coagulation defect
Chest pain … awareness
Psychiatric (psychosis, suicidal)
Gastrointestinal/Genitourinary
Abdominal/pelvic pain … Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal
Joint pain
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preventiveservices.ahrq.gov/data/infographics/index.html
March 01, 2024 - 2021
New Research From AHRQ: Are Cannabis-Based Products Effective in Treating Chronic Pain … Progress on Blood Pressure Control
Flu's Annual Impact
U.S. adults who use opioids for chronic pain … Percent Change in Single and Family Premiums for Employer-Sponsored Health Insurance
Growing Pain
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preventiveservices.ahrq.gov/health-literacy/professional-training/shared-decision/workshop/mod1-guide.html
September 01, 2020 - Jones is a 70-year-old woman with diagnosed osteoarthritis (OA), and she has moderate pain. … Until recently, she had been doing fine with OA pain by maintaining a healthy weight and exercise. … to control the pain better. … Wilson is a 70-year-old woman with diagnosed osteoarthritis (OA), and she is in moderate pain. … to control the pain better.
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preventiveservices.ahrq.gov/research/findings/final-reports/index.html
June 01, 2023 - Emergency Care
(5)
Human and Environmental Factors
(3)
Patient and Family Engagement
(3)
Pain … Grant Number: R18 HS 026156 Topic(s): Pain Management Publication Date: May 2022
Inpatient … Patient Safety Tools Publication Date: July 2021
Toward Safer Opioid Prescribing for Chronic Pain
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/prp/prp-wound-care.pdf
September 17, 2020 - Unfortunately, wound pain is
recalcitrant and has been associated with chronic pain features such as … Further studies are needed to evaluate the effect on pain,
considering the importance of pain in affecting … Assessing
persistent pain and its relation to affective
distress, depressive symptoms, and pain
catastrophizing … Pain
management of chronic wounds: Diabetic
ulcers and beyond. … Cytokines, inflammation, and
pain.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module3/putoolkit_module3_tools.docx
August 31, 2017 - OR limited ability to feel pain over most of body surface.
2. … OR has a sensory impairment which limits the ability to feel pain or discomfort over 1/2 of body.
3 … OR has some sensory impairment which limits ability to feel pain or discomfort in 1 or 2 extremities. … Impairment:
Responds to verbal commands, has no sensory deficit which would limit ability to feel or voice pain … No limitation
· Encourage patient to report pain over bony prominences.
· Check heels daily.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.docx
April 08, 2016 - Periwound area (skin color, heat/redness, edema, and induration)
Granulation tissue
Epithelialization
Ulcer pain … wound bed
4= 25% to <50% wound covered
5= <25% wound covered
Pain … Pressure Ulcer Site Pain
Select 0-10 on pain scale
0 1 2
3 4 5
6 7 8
9 … 1 2
3 4 5
6 7 8
9 10
0 1 2
3 4 5
6 7 8
9 10
Pain … medication given for ulcer pain
Current Pressure Ulcer Stage
Stage 1
Stage
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-biliary-infections-facilitator-guide.pdf
November 01, 2019 - The vast majority of patients presenting with
diverticulitis will have abdominal pain, usually in the … In addition to abdominal pain on palpation, patients
may have a palpable mass indicating inflammation … Many patients will have a history of constipation or
prior episodes of similar pain. … Baseline characteristics were similar
between the groups. 97 percent of patients had
abdominal pain … The three curves show the time course of decrease in
abdominal pain by patient report, temperature,
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
January 01, 2003 - Patient Care
Pain management/sedation (held to follow commands)? … Pain goal______/ 10 w/______
Cardiac
Review EKGs
Human Resources Goal_______
|_| At goal
|_| Increase
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-assessment.pdf
December 15, 2016 - color, heat/redness, edema, and induration)
Granulation tissue
Epithelialization
Ulcer pain … <0.5 cm into wound bed
4= 25% to <50% wound covered
5= <25% wound covered
Pain … Pressure Ulcer Site Pain
Select 0-10 on pain scale
0 1 2
3 4 5
6 7 … 3 4 5
6 7 8
9 10
0 1 2
3 4 5
6 7 8
9 10
Pain … medication given for ulcer pain
Current Pressure Ulcer Stage
Stage 1
Stage 2
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
March 01, 2017 - 14,000 cells/mm3 or Left Shift with >6% or >1,500 bands/mm3)
☐
☐
New onset costovertebral angle pain … or tenderness
☐
☐
New or marked increase in suprapubic tenderness
☐
☐
Acute pain, swelling
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/evidencenow/practice-facilitators-effectiveness-infographic.pdf
September 01, 2022 - Change Process
Assess practices’ readiness to change
Help practices think critically to
identify pain
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/saworksheet.pdf
December 15, 2016 - tissue (color, temp, bogginess, and fluctuation)
Need for debridement
Presence of odor
Pain … Assessing the resident for pain?
Appropriate use of topical wound agents? … fluid intake
Change in mobility
Change in continence
Change in ability to communicate pain
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_6_Pres_TX_508.pptx
July 23, 2010 - caused by breakdowns in communication
Patient outcomes, including emotional health, functioning, and pain … they do
May want family or friends to support them
Are busy and under a lot
of stress Are often in pain … is very happy about finally getting through the surgery and being on this unit, but he is still in pain … initial nursing assessment, but Jack interrupts to ask her who she is and what can she do about his pain … in his care
Learns that his wife can visit him anytime
Gets some initial support for relieving his pain
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevhosp-reports-slides.pptx
November 30, 2013 - Reason for Transfer Out of Facility
Cardiac/Circulatory
Anemia
Cardiac arrest
Coagulation defect
Chest pain … Injury
Major injury
Minor injury
Non-Fall-Related Injury
Major injury
Minor injury
Musculoskeletal
Joint pain … Weight loss
Sample Transfer Note (page 2 of 2)
Gastrointestinal/Genitourinary
Abdominal/pelvic pain … : new or unrelieved 1
Chest pain: with inspiration or coughing 1
Cough: new or … Nausea or vomiting (recurrent for last 24 hours) 1 1
Genitourinary
Abdominal pain
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_slides_best-practices.pptx
June 16, 2017 - 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 … with type 2 diabetes
Post-hip replacement
No recent history of falling
Difficulty walking due to hip pain … No ambulatory aid
No IV/heparin lock
Currently on pain medication, which makes him dizzy
Underestimates
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preventiveservices.ahrq.gov/prevention/guidelines/archive.html
July 01, 2018 - Acute Pain Management Clinical Guide / Quick Reference Guide: Adults / Pediatric
Consumer Version … Management of Cancer Pain Clinical Guide / Quick Reference Guide
Consumer Version: English / Spanish
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/fallprevention-training/module3/module3_tools.docx
January 01, 2012 - 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 … , shoulder abducts
Localizes pain
5 = Arm attempts to remove supraorbital/chest pressure
Obeys … Severity of injury (check the most severe)
__None (skip to question 2.5)
__Minor (complaint of pain;
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Tool_2_Nurse_Chklst_508.pdf
June 04, 2013 - o “Tell us how your pain is.”
o “Tell us how much you walked today.”
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preventiveservices.ahrq.gov/research/findings/ta/index.html
January 01, 2024 - PDF - 216 KB)
Therapeutic Options for Obesity in the Medicare Population (2014; PDF - 316 KB)
Pain … Management Injection Therapies for Low-Back Pain (2014; PDF - 77 KB)
Technology Assessment Archive