LECTURE OUTLINE

Phase 3B/yr4

Module

Anaesthesiology

Title

Pain as the 5th Vital Sign

Lecturer

Anaes Ipoh GH

Aims

To recognise Pain as a 5th vital sign. To provide an overview of managing this vital sign.

Learning outcomes

At the end of this lesson, the student will be able to

a) Explain the importance of controlling pain

b) State the goals of pain assessment

c) Differentiate the different types of pain syndromes

d) Discuss the barriers of achieving good pain control.

e) Specify the tools of pain measurement

Assumed Knowledge

Pre-clinical medical sciences modules

Lecture Contents

i. Define pain: IASP

ii. Pain as the 5th sign: Blood pressure, pulse ,respiration, temperature, PAIN

iii. Pain assessment goals

iv. Characteristics of nociceptive & neuropathic pain

v. Pain syndromes

vi. Barriers to pain assessment/management

vii. Patients rights and responsibilities

viii. Assessment of pain; History/Physical/Diagnostic test

ix. Tools of pain measurement: Uni & Multidimensional

Clinical Relevance

Pain is recognised as a 5th vital sign. Increasing number of hospitals in Malaysia are designated as Pain free hospitals. It is a right of patients to have a pain free experience in the hospital.

References

1. Lecture notes: Clinical anaesthesia. Carl L Guinnutt 3rd Edition 2008

2. Textbook of Anaesthesia. Aitkenhead 5th Edition 2007

3. Basic practical per-anaesthesia. A.E Delilkan 3rd Edition 2005