12.07.2015 Views

The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

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A <strong>Clinical</strong> <strong>Guide</strong> <strong>to</strong> <strong>Supportive</strong> <strong>and</strong> <strong>Palliative</strong> <strong>Care</strong> <strong>for</strong> <strong>HIV</strong>/<strong>AIDS</strong> • Chapter 3: Assessment of Physical Symp<strong>to</strong>msFigure 3-4b: Pain Intensity ScalesPain Intensity Scales include the Simple Descriptive Pain Intensity Scale, the Numerical RatingScale <strong>and</strong> the Visual Analog Scale. <strong>The</strong>se can be used as pediatric pain assessment <strong>to</strong>ols in26 picaschildren over the age of seven or eight who underst<strong>and</strong> the concept of order <strong>and</strong> number.Simple Descriptive Pain Intensity Scale *NopainIIIMildpainModeratepainSeverepainVeryseverepainWorstpossiblepain0-10 Numeric Pain Pain Intensity Scale Scale 1 *0Nopain1 2 3 4 5Moderatepain6 7 8 9 10WorstpossiblepainVisual Analog Scale Scale (VAS) (VAS) 2 **Nopain* If used as a graphic rating scale, a 10-cm baseline is recommended.** A 10-cm baseline is recommended <strong>for</strong> VAS scales.Pain as badas it couldpossibly beSource: Acute Pain Management: Operative or Medical Procedures <strong>and</strong> Trauma. <strong>Clinical</strong> Practice <strong>Guide</strong>line #1, AHCPR Publication 92-0032. Rockville, MD: Agency <strong>for</strong>Health <strong>Care</strong> Policy <strong>and</strong> Research. February 1992.U.S. Department of Health <strong>and</strong> Human Services • Health Resources <strong>and</strong> Services Administration • <strong>HIV</strong>/<strong>AIDS</strong> Bureau 73

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