1. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? What Is Pain? Module 1 | Bite 1 Financial support provided by the Leichtag Foundation Barbara Greenstein, Project Lead | Elizabeth Rest & Lisa Wortman, Instructional Designers | Connie Carr, May Bull & Paula McMenami, Editors | Kelley Worrall, LMS System Administrator | Jim Staylor, Video Production | Person One, narrator | Person One, Person Two & Person Three, actors

2. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? What is pain? At this end of this bite you will be able to: Define pain. Listen to residents to identify how they are feeling. Identify acute and chronic pain. Distinguish between normal nerve function and abnormal nerve function.

3. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? How does pain make people feel? BURNING SHOOTING ELECTRICAL

4. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? How does pain make people feel? BURNING SHOOTING ELECTRICAL SHARP ACHING THROBBING

5. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? How does pain make people feel? BURNING SHOOTING ELECTRICAL THROBBING SHOOTING NUMB SHARP ACHING THROBBING

6. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Practice Items Insert Quizmaker here!

7. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Definition of Pain Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. “Pain is whatever the resident says it is.” - Margo McCaffrey “Pain is whatever the resident says it is.” - Margo McCaffrey

8. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Identified event Resolves within days or weeks Acute Pain Surgery Sprained Ankle Fractured Foot

9. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Cause often not easily identified Lasts for weeks, months, or years Chronic Pain Back Pains Nerve Damage Arthritis

10. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Acute Pain Identified event Resolves within days - weeks Chronic Pain Cause often not easily identified Lasts for weeks, months, or years Acute vs. Chronic Pain Back PainsArthritis Surgery Sprained Ankle

11. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Practice Question Which of the following are examples of chronic pain? (check all that apply) A.Diabetic neuropathy B.Appendicitis C.Minor burn D.Osteoporosis Insert Quizmaker here!

12. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Pain From a Normal Nerve Function Described as: Sharp Aching Throbbing On the surface Easy to describe, localize Deep Organs Difficult to describe, localize

13. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Pain From a Normal Nerve Function Described as Sharp Aching Throbbing On the surface Easy to describe, localize Deep Organs Difficult to describe, localize Headache Toothache Burn

14. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Described as Burning Shooting Stabbing Electrical Tingling Associated numbness Pain From a Abnormal Nerve Function Diabetic Neuropathy Carpal Tunnel Syndrome Tennis Elbow

15. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Normal Nerve Function Described as Sharp Aching Throbbing On the surface Easy to describe, localize Deep Organs Difficult to describe, localize Abnormal Nerve Function Described as Burning Shooting Stabbing Electrical Tingling Associated numbness Normal vs. Abnormal Nerve Function Headaches Tennis Elbow

16. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Practice Question What type of pain is being described? A.Normal nerve B.Abnormal nerve I hurt my back reaching for something yesterday. There is aching pain in my lower back, right here. Insert Quizmaker here!

17. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? An event that lasts days or weeks Often not easily identified and can last weeks, months, or years Described as sharp, aching, or throbbing pain on the surface or in deep organ Described as burning, tingling, shooting, stabbing, or electrical with associated numbness Review Acute pain Chronic Pain Normal Nerve Function Abnormal Nerve Function

18. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Practice Assignment Observe and listen to your residents Ask every resident the following questions as practice to assess their pain: – Do you have pain? – How long have you had the pain? – Can you describe the pain? Listen for describing words to distinguish between normal and abnormal nerve pain.

19. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Bite 1 Quiz Instructions Please complete the following quiz. You must pass the quiz with a score of 80% or higher to move to the next module. Insert Quizmaker here!

20. Bite 2 | Identifying Pain? Bite 3 | Identifying Pain in Nonverbal Residence Bite 1 | What is Pain? Congratulations! You have successfully completed Bite 1