Pain Assessment Tools and Scale Conclusion
Pain Assessment Tools and Scale Conclusion ( 5 Questions)
A nurse is caring for a patient who has dementia and reports pain in the lower extremities.
The nurse observes that the patient grimaces and rubs his legs frequently. Which of the following behavioral pain assessment tools and scales should the nurse use to measure the patient’s pain level?
The FLACC scale is a behavioural pain assessment tool that is used for children aged 2 months to 7 years who are unable to report their pain. The FLACC scale evaluates five categories of pain: face, legs, activity, cry, and consolability.
The PAINAD scale is a behavioral pain assessment tool that is designed for patients with advanced dementia who cannot communicate verbally. The PAINAD scale evaluates five indicators of pain: breathing, vocalization, facial expression, body language, and consolability. Each indicator is scored from 0 to 2, and the total score ranges from 0 to 10. A higher score indicates more severe pain.
The PASS scale is a behavioural pain assessment tool that is used for patients who are sedated or unconscious. The PASS scale evaluates four indicators of pain: movement of limbs, facial grimacing, muscle tension, and compliance with ventilation.
The CAS scale is a behavioural pain assessment tool that is used for children aged 1 to 18 years who are awake and alert. The CAS scale evaluates six categories of pain: vocal, facial, activity, body and limbs, physiological, and consolability
The PAINAD scale is a behavioral pain assessment tool that is designed for patients with advanced dementia who cannot communicate verbally. The PAINAD scale evaluates five indicators of pain: breathing, vocalization, facial expression, body language, and consolability. Each indicator is scored from 0 to 2, and the total score ranges from 0 to 10. A higher score indicates more severe pain.
Choice A is wrong because the FLACC scale is a behavioural pain assessment tool that is used for children aged 2 months to 7 years who are unable to report their pain. The FLACC scale evaluates five categories of pain: face, legs, activity, cry, and consolability.
Choice C is wrong because the PASS scale is a behavioral pain assessment tool that is used for patients who are sedated or unconscious. The PASS scale evaluates four indicators of pain: movement of limbs, facial grimacing, muscle tension, and compliance with ventilation.
Choice D is wrong because the CAS scale is a behavioral pain assessment tool that is used for children aged 1 to 18 years who are awake and alert. The CAS scale evaluates six categories of pain: vocal, facial, activity, body and limbs, physiological, and consolability