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24th Napa Pain Conference

NPC2017-F05b - Patient Assessment & Management

Aug 18, 2017 10:30am ‐ Aug 18, 2017 12:30pm

Credits: None available.



Pain assessment is essential to optimal pain management interventions. Studies have found that the two primary barriers for health care professionals are poor pain assessment and lack of knowledge about pain.

This session will define key assessments for a targeted pain interview, identify common chronic pain conditions and explore treatment options, including complementary therapies with emerging evidence.

Use of monitoring resources and documentation will also be emphasized as part of a comprehensive pain assessment to guide and adjust treatment plans.


As a result of completing this course, learners will be able / better able to:

  • Understand essential elements of a pain interview and assessment.
  • Rapidly assess, appraise and interpret painful symptoms.
  • Develop an appropriate treatment plan.
  • Identify key considerations before starting opioid therapy.
  • Maximize use of monitoring resources in chronic opioid therapy including urine drug screening, prescription drug monitoring programs and adherence to opioid consent agreements.


  • Melzack R. The McGill Pain Questionnaire. In: Melzack R, ed. Pain Measurement and Assessment. New York, NY: Raven Press; 1983:41-47.
  • Stewart B, Lancaster G, Lawson J, Williams K, Daly J. Validation of the Alder Hey Triage Pain Score. Arch Dis Child. 2004;89(7):625-630.
  • Keller S, Bann CM, Dodd SL, Schein J, Mendoza TR, Cleeland CS. Validity of the Brief Pain Inventory for use in documenting the outcomes of patients with noncancer pain. Clin J Pain. 2004;20(5):309-318.
  • Cleeland CS, Ryan KM. Pain assessment: global use of the Brief Pain Inventory. Ann Acad Med Singapore. 1994;23(2):129-138.
  • Fishman SM. Listening to Pain. A Clinician’s Guide to Improving Pain Management Through Better Communication. Oxford Publishing 2012
  • Feldt KS. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs. 2000;1(1):13-21.
  • Busner J, Targum S. The Clinical Global Impressions Scale. Psychiatry (Edgmont).2007;4(7):28-37.
  • Gelinas C, Harel F, Fillion L, Puntillo KA, Johnston CC. Sensitivity and specificity of the critical-care pain observation tool for the detection of pain in intubated adults after cardiac surgery. J Pain Symptom Manage. 2009;37(1):58-67.



Credits: None available.

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