Iimpawu zePain - Iintlobo zokuHlola eziPhambili

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UWong Baker ubhekene nobunzima obubuhlungu

I-Wong Baker ibona ubuhlungu obuyintlanganisela idibanisa imifanekiso kunye namanani ukuvumela intlungu ukuba ilinganiswe ngumsebenzisi. Ingasetyenziselwa kubantwana abangaphezu kweminyaka eyi-3, nakubantu abadala. Ubuso obuvela ebusweni obomomothekayo kumbuhlungu, ubuso obulilayo. Ukulinganisa kwamanani kunikwa ubuso ngamnye, apho kukho i-6 iyonke.

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I-Numerical Rating Pain Scale

Mhlawumbi enye yezona zibuhlungu eziqhelekileyo ezisetyenziselwa ukunakekelwa kwezempilo, isilinganisi sokulinganisa kwamanani unikezela umntu ngentlungu ukuba ahlawule amanqaku abo entlungu. Yenzelwe ukuba isetyenziswe ngabangaphezu kweminyaka eyi-9. Kwinqanaba lomlinganiselo, umsebenzisi unako ukhetho lokulinganisa isantya sawo ukusuka ku-0 ukuya ku-10 okanye ukubeka uphawu kumgca obonisa inqanaba lentlungu. 0 lichaza ukungabikho kweentlungu, ngelixa i-10 ibonisa intlungu eninzi inokwenzeka.

I-Numerical Rating Pain Scale ivumela umboneleli wezempilo ukuba alinganise iintlungu ezinokuthobeka, ezithelekisekileyo okanye ezinzima, ezingabonakalisa izinga lokukhubazeka.

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I-FLACC Scale - Isixhobo sokuVavanya iNtlungu

I-FLACC imele ubuso, imilenze, umsebenzi, ukukhala kunye nokuqiniswa. Isilinganisi seentlungu ze-FLACC saphuhliswa ukunceda abanonophelo bezokwelapha ukuba bahlole ubunzima beentlungu kubantwana abaselula ukuba bangabambisana. Kukwasetyenziswa kwakhona kubantu abadala abakwazi ukuthetha.

Isikali se-FLACC sisekelwe kwimiboniso eyenziwe ngokubhekiselele kwimeko yesigulane, isikhundla seemilenze zabo, izenzo zabo, nokuba ingaba zizolile okanye zikwazi ukuzinza. Zero kwiingongoma ezimbini zinikezelwe nganye kwezi ndawo ezi-5 zokujonga.

Amanqaku onke aqoshiwe ngolu hlobo lulandelayo:

0 = Ukhululekile kwaye ukhululekile

1-3 = Ukukhathazeka okubuhlungu

4-6 = Intlungu ephakathi

7-10 = Ukungathandeki kakuhle / intlungu

Ngokurekhoda amanqaku e-FLACC ngezikhathi ezithile, abasebenzi bezonyango banokuqonda ukuba ingaba intlungu yesigulane iyanda, iyancipha okanye izinzile.

_Umthombo:

_{UMerkel S, Voepel-Lewis T, uShayevitz JR, et al: I-GLACC: Isilinganiselo sokuziphatha sokubamba intlungu emva kwentsholongwane yabantwana abancinci. Unesi wabantwana base-1997; 23: 293-797.}

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IZINTO EZIFUNDIYO - Isixhobo sokuVavanya iNtlungu

I-CRIES Pain Scale isetyenziswa rhoqo kwiindawo zokunakekelwa kwezempilo ezingabantwana. IINKCUKACHA yindlela yokuhlola ubuhlungu eyenziwa ngumgqirha wezempilo njengonesi okanye ugqirha. IINKQUBO zivavanya ukukhala, i-oxygenation, iimpawu ezibalulekileyo, ukubonakalisa ubuso kunye nokulala. I-CRIES Pain Scale ngokuqhelekileyo isetyenziselwa iintsana ezi-6 ubudala kunye ncinane.

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UKUZIPHATHA ISIHLOKO SOKUHLAWULWA KWEPENDULO

I-COMFORT Scale iyinqanaba lesifo esingasetyenzwa ngumboneleli wezempilo xa umntu engakwazi ukuchaza okanye ukulinganisela intlungu. Ezinye zeendawo eziqhelekileyo esi sixa esinokusetyenziswa kunye nazo ziquka:

• bantwana
• abadala abanokukhubazeka
• Abantu abadala abanolwazi lwabo lwexeshana, abanamayeza okanye ukugula
• ukukhubazeka ukufunda
• izigulana ezihlala zihlala kwi-ICU okanye kwindawo yokusebenza

I-COMFORT Scale inikezela ubukhulu bentlungu phakathi kwe-9 no-45.

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UMcGill Ubunzima beNqanaba loVavanyo loPhando

Umbuzo we-McGill Pain Questionnaire uqukethe amaqela ngamazwi achaza intlungu. Umntu ukulinganisa intlungu yabo ibandakanya amagama kwiqela ngalinye. Eminye imizekelo yamagama asetshenzisiweyo ukukhwela, ubukhali kwaye buhlungu.

Emva kokuba umntu elinganise amagama abo entlungu, umlawuli ubela amanqaku eenombolo, ebizwa ngokuba yi-Index Rating Rating.