Poker Chip Pain Assessment Tool

  
  1. Poker Chip Pain Assessment Tool Set
  2. Poker Chip Pain Assessment Tool Download

Use color-coded scale to assess children's pain. A color-coded scale is effective at pain assessment in pediatric patients, says a new study that looked at 126 children between 5 and 12 years old presenting to a pediatric ED with acute pain. 1 The Colored Analog Scale (CAS) is shaped like a thermometer, with color that gradually gets darker red as you go up the scale. Oct 14, 2019  This application provides some of the most used, validated and widely accepted pain assessment and rating scales. Featured are self-reporting and observational scales for pain assessment in infant, children, adults, demented persons, ICU patients and persons experiencing chronic or low-back pain: - Pieces Of Hurt Tool (Poker Chip Tool).


  • The most common assessment tool is a numeric rating scale (NRS; see image below), in which the patient rates pain based on a scale from 0-10, with 0 being “no pain at all” and 10 being the “worst imaginable pain.” In addition, a pain history should be taken to further expand the clinician’s assessment of the pain.
  • The Pain Research Center brings an interdisciplinary approach to the study of what pain is and how we treat it. We are clinical care providers, psychologists, social scientists, basic scientists, and an applied statistician, united by a belief that no single perspective has a clear view of pain and what it does to us.
  • Poker Chip Tool (PCT): This tool uses 4 red poker chips to quantify pain. (Some versions have a white chip to represent no pain).6 The red chips represent pieces of hurt. One chip is a little bit of hurt while all four chips are the most hurt the child can have. The child is told to select the number of chips that indicate how much pain he/she is experiencing. The poker chip tool has been used with.
There are several differentpaediatric assessment scales published and available to use. Differentassessment scales are targeted towards different age groups within thepaediatric patient group.

Behaviour ObservationalScales

Observationalassessment scales, where the observer rates a child’s behaviour for indicatorsof pain, are used for children who may not be able to give appropriate verbalresponses. The most commonly used scales for newborn children are the PrematureInfant Pain Profile (PIPP) and CRIES postoperative pain scales (Walker &Arnold, 2009). The FLACC behavioural scale is a behaviour assessment tool whichhas been validated for the use of objectively assessing pain levels in childrenbetween the ages of 2 months and 7 years old (Walker & Arnold, 2009).
Click on the Links below to view an image of the described assessment tools.
PIPPis based on the patients activity, facial expressions andan increase in patients vital sign from baseline recordings to give anindication of an increase in pain scores (Stevens, Johnston, Petryshen & Taddio,1996).

CRIESis a useful tool for neonatal postoperative patients.It assesses Crying, Requirement of oxygen, Increase in vital signs, Expression,and Sleeplessness (Bildner, 1997).

PainPoker Chip Pain Assessment Tool

FLACC is based on the observer’s assessment of the patientsFace, Legs, Activity, Cry and Consolability (Walker & Arnold, 2009).


Self-Reporting Scales

Poker Chip Pain Assessment Tool Set

Children from 3 years of agehave the potential to reliably self-report pain using one of a number ofself-reporting pain assessment tools. These tools include the Faces pain scale– Revised, and the Wong-Baker faces pain rating scale. The Oucher scale usesphotographic images of children in differing stages of distress and a scale of0-10 alongside each picture. Younger children may find the poker chip scale usefulto quantify their pain whereas older children may be able to use the visualanalogue scale (Walker & Arnold, 2009).

Wong-Bakerfaces pain scale uses cartoon faces withdiffering expressions to indicate severity of pain from 0-10 (Walker & Arnold,2009).

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The Faces pain scale has been revised from the initial sevenfaces to six with the first face representing no pain, of a 0/10 and the lastface representing 10/10. The revised faces pain scale differs from theWong-Baker faces as the ‘no pain’ face has a neutral expression instead of asmile and the most severe pain face does not have tears (Hicks, von Baeyer,Spafford, van Korlaar & Goodenough, 2001).

The Oucherscale is unique in the fact that it is availableshowing a child of a different sex and race to allow the patient to relate tothe images more easily (Beyer, Villarruel & Denyes, 2009).

Poker Chip scale uses four ‘poker chips’ as ‘pieces of hurt’which the child uses to indicate how much pain they are feeling (Kohntopp,2011).

Visual Analogue Scale consists of a line usually 10cm longwith one end representing no pain and the other end representing severe pain.The patient indicates the level of pain experienced by indicating an area onthe line (Kohntopp, 2011).

There is no consistent evidencesuggesting one assessment tool superior to another, however to maintain a levelof consistency in patient assessment research suggests the same scale should beused throughout an institution (Kohntopp, 2011 & Walker & Arnold, 2009).

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AcronymDefinition
HPCTHigh Performance Cartridge Tape
HPCTHigh Performance Computing Technology
HPCTHigh Performance Computing Toolkit (IBM)
HPCTHampshire Primary Care Trust (UK)
HPCTHematopoietic Progenitor Cell Transplant
HPCTHarrow Primary Care Trust (UK)
HPCTHugh Pilkington Charitable Trust (UK)
HPCTHester Poker Chip Tool (pediatric pain assessment)

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Poker Chip Pain Assessment Tool Download