Special Populations Patients Unable to Self-Report

Special Populations Patients Unable to Self-Report 150 150 Tony Guo

Special Populations Patients Unable to Self-Report

  • Behavioral and physiologic changes may be indicators of pain
  • Scales to assess pain in cognitively impaired are based on common behavioral indicators:
    • Facial expressions
    • Breathing
    • Body movement or tension

Special Populations Substance Abuse Problems

  • Assessing and providing relief with a dual diagnosis of pain and substance abuse are challenging
    • These patients still have a right to receive effective pain management
  • Comprehensive pain assessment
    • Detailed history
    • Physical examination
    • Psychosocial assessment
    • Diagnostic workup
  • Establish a treatment plan that will relieve pain and minimize withdrawal symptoms
  • Usually requires an inter-professional team approach

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