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Pediatric Pain Assessment
Pediatric Pain Assessment
Pain assessment
should be appropriate
to the developmental
age.
Pain assessment is
considered the 5th vital
sign and should be
assessed at the same
time as temperature,
pulse, respiration and
B/P.
Quest Principles of pain assessment
Explain that each face is for a person who feels happy because he has no
pain (hurt) or sad because he has some or a lot of pain.
Face 0 is very happy because he does not hurt at all.
Face 1 hurts just a little bit
Face 2 hurts a little more
Face 3 hurts even more
Face 4 hurts a whole lot
Face 5 hurts as much as you can imagine
Non-Verbal Pediatric Pain Scale (FLACC)- The provider will assess each
category and obtain a number which is the pain assessment score. Then
the provider uses the same scale for reassessment.
0-10 pain scale is utilized to assess children’s pain when
they know there numbers and can verbalize that the
higher the number the greater the pain.
How often should pediatric pain be assessed?
Pain is assessed by the registered nurse upon first
patient encounter, every medication administration
or other therapy (before and after), as well as at the
change of shift and patient report of pain
Assessment criteria include: The intensity, pain site,
quality or nature of the pain, patients goal for
management of pain (if old enough to understand)
Unlicensed assistive personnel may obtain a pain
score from the patient, but then must report it
immediately to the registered nurse
All information retrieved from Mercy’s pain policy
Pain Management
Patients who report pain will be reassessed as frequently
as appropriate to achieve the patient’s acceptable level
of pain relief. The following guideline may be used to
establish timeframes for reassessment:
Every 15 -30 minutes for intravenous analgesics
Within one hour following oral or IM analgesics
Respiratory rate, sedation level, and pain level will be
recorded every 2 hours for the first 8 hours and then
every 4 hours and as needed for the duration of PCA
use.
All information retrieved from Mercy’s pain policy