ISDR ppt
- 1. Bhavana Reddy .B CRI Meenakshi Ammal Dental College
- 9. How do we measure pain??? Using Specific scales CHEOPS TPPPS FPS? ? Theres something new called FLACC!!!
- 11. For scoring postoperative pain in young children after general anesthesia. Children with cognitive impairment Dennis Paul Nutter DDS. Good clinical pain practice for pediatric procedure pain: Metric considerations. Calif dent journal 2009.
- 12. SCORE Item 0 (none) 1 (small) 2 (big) Face No particular Occasional grimace, Frequent to constant expression or frown, withdrawn frown, clenched jaw, smile or disinterested quivering chin Legs Normal position Uneasy, restless, Kicking or legs or relaxed or tense drawn up Activity Lying quietly, Squirming, shifting Arched, rigid, or normal position, back and forth, jerking moves easily or tense Cry No cry Moans, whimpers, Crying steadily or occasional screams or sobs complaint frequent complaints Consolability Content, relaxed Reassured by Difficult to occasional touching, console or being talked to, comfort distractable
- 16. Actions speak louder than words?! Name: Age/Sex: O.P.No: Address & Contact no.: Dental visit: Dental procedure: FLACC Scale: F : Facial Pain Measurement Scale : L : A : C : C :
- 21. S.No Age / Sex FLACC FPM 1 8 yrs / F 2 2 2 8 yrs / F 6 10 3 10 yrs/ M 5 8 4 7 yrs / M 2 2 5 6 yrs / M 2 4 6 10 yrs / F 2 4 7 10 yrs / F 5 10 8 9 yrs / M 5 2 9 7 yrs / F 0 2 10 8 yrs /M 0 2 11 4 yrs / M 2 2 12 6 yrs / M 2 8 13 5 yrs / M 2 2 14 10 yrs / F 7 8 15 7 yrs / F 6 2
- 22. S.No Age / Sex FLACC FPM 31 5 yrs / M 2 2 32 7 yrs / M 2 0 33 5 yrs / F 10 10 34 5 yrs / F 4 4 35 6 yrs / M 2 4 36 8 yrs / F 2 2 37 6 yrs / M 2 0 S.No Age / Sex FLACC FPM 16 5 yrs / F 3 0 17 8 yrs / F 2 2 18 4 yrs / M 2 2 19 7 yrs / M 2 2 20 8 yrs / M 8 4 21 4.5 yrs / F 0 0 22 8 yrs / F 0 2 23 7 yrs / F 5 10 24 5 yrs / F 8 10 25 8 yrs / M 3 8 26 7 yrs / M 2 4 27 6 yrs / M 2 2 28 4 yrs / F 5 10 29 8 yrs / M 1 2 30 8 yrs / M 1 2
- 23. 73% 27% Extremities of the scale (0,2,10) Others (4,6,8) % OF CHILDREN POINTINGTOTHE RESPECTIVE SCORE
- 24. 30% 70% FLACC = FPM FLACC = FPM
- 25. </= 7 years > 7 years 45.45% 6.66% 54.55% 93.33% Similar FLACC & FPM scores Different FLACC & FPM scores
- 29. Dennis Paul Nutter DDS. Good clinical pain practice for pediatric procedure pain: Metric considerations. Calif dent journal 2009. Matsuoka et al. Face scales and facial expression analysis to assess clinical pain intensity. Volume 8, 2008. Sandra Merkel et al. AJN. Volume 102, Oct 2002. Pain Control.
- 30. Dr. Sharath Asokan MDS, PhD Department of Pediatric dentistry Dr. Siva Kumar. N. MDS Departement of Pediatric Dentistry Dr. P. Jayakumar MDS Principal Dr. Ambalavanan MDS Vice - Principal MEENAKSHI AMMAL DENTAL COLLEGE CHENNAI