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www.cpsi.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/apcfigtxt3.html
December 01, 2017 - Pain
Feelings: Fear, anxiety
Agenda: Physical need to urinate, misses usual environment
… Continue to assess for pain using pain scale for dementia patients.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care_Final_0.docx
October 01, 2016 - The key symptoms of urinary tract infections are:
Dysuria or acute pain when urinating
Fever with another … Back or flank pain
Frequent urination
Incontinence
A strong, persistent urge to urinate
Suprapubic pain … Today Grace has new complaints of right-sided sharp flank pain when she urinates. … symptoms are approaching the criteria: temperature has risen to nearly 100° and resident has new flank pain … can focus on the criteria that are met, including her temperature, urinary frequency, and suprapubic pain
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www.cpsi.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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www.cpsi.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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www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7b.html
October 01, 2014 - 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. … 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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pptx
April 12, 2018 - Thomas – 78 year-old-male with uncontrolled hypertension and knee pain
Visiting for knee pain, which … year-old male patient with uncontrolled hypertension who has come in for a scheduled visit for knee pain … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-slides-final508.pdf
April 12, 2018 - Thomas – 78 year-old-male with uncontrolled
hypertension and knee pain
• Visiting for knee pain, … year-old male patient with uncontrolled hypertension who has come in for a scheduled visit for knee pain … Thomas is a fit and active man who is frustrated that his knee pain is preventing him from exercising
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www.cpsi.ahrq.gov/cahps/surveys-guidance/dental/about/Development-of-the-Dental-Plan-Survey.html
April 01, 2020 - dimensions of dental care quality:
An emotive or sensory dimension that includes patients' experiences of pain … and anxiety, fear in anticipation of pain, and comfort during treatment.
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www.cpsi.ahrq.gov/patient-safety/settings/ambulatory/improve/six-building-blocks-about.html
November 01, 2021 - It supports team-based systems-level clinical changes to help patients with chronic pain maximize their … improve a primary care clinic's management of patients who are on long-term opioid therapy for chronic pain
-
www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
May 14, 2013 - in preventable readmissions
– Improved patient outcomes
• Emotional health, symptom resolution, pain … physiologic measures
– Improved CAHPS® Hospital Survey scores
• Patient-provider communication, pain … by breakdowns
in communication
– Patient outcomes, including emotional health,
functioning, and pain
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Siddharthan.pdf
January 10, 2005 - Back pain is
the most common reason for filing workers’ compensation claims. … Most prescriptions were pain
relievers and available over the counter. … An overview of the
incidence and costs of low back pain. … Manual handling
activities and risk of low back pain in nurses. … Epidemiological aspects of back pain
within the nursing profession.
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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warm-handoff-role-play-final508.pdf
April 03, 2018 - year-old male patient with uncontrolled hypertension who has come in for
a scheduled visit for knee pain … Thomas is a fit and active man who is frustrated that his
knee pain is preventing him from exercising … Things To Look For
Did the staff member include:
� Knee pain is interfering with normal activities?
-
www.cpsi.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu7a.html
August 01, 2017 - Physician-prescribed regimen
Appropriateness to wound staging
Treatment reassessment timeframe
Pain … Screen for pain related to ulcer
Choose appropriate pain med
Provide regular pain med administration … Reassess effectiveness of med
Assess/treat side effects
Change or cease pain med as needed … Foam dressings increase the pain in the wound.
4. … Foam dressings increase the pain in the wound.
False
4.
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www.cpsi.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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www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
December 13, 2013 - • Pain (65%).
• Requiring silver nitrate (56%).
– Broken or leaky tube (56%). … Pain or discomfort at
periostomal site
■ Incorrect insertion
■ Infection
■ Failure of fixation
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www.cpsi.ahrq.gov/funding/training-grants/grants/active/kawards/kawdsummccarthy.html
October 01, 2014 - phases of the research project that is related to evaluating the quality of emergency care of chest pain … and abdominal pain patients.
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/sitetools/ts2-0ltc_learning_benchmarks.pdf
April 24, 2017 - The resident has fallen in the bathroom and is crying in pain. … telling the medical director that her resident has been
ambulating everyday in the hallway without pain … The nursing assistant knows that the resident has
been complaining of severe pain for the past 2 days … Hope the resident speaks up about the pain.
d. … Interrupt the DNS and medical director and respectfully state her knowledge about the resident’s
pain
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www.cpsi.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/musculo.html
June 01, 2018 - Estimates of arthritis prevalence vary depending on whether the definition includes chronic joint symptoms (pain … These patients need interventions and advice to manage and control their pain and symptoms and thus improve … traumatic brain injury, multiple sclerosis, osteoarthritis, rheumatoid arthritis, limb loss, and back pain
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www.cpsi.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