View source for Wirksamkeitskontrolle bei akutem & chronischem Schmerz

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! rowspan="2" style="width:400px;" | [[File:EvaltLogo.jpg|Logo der Altenhilfe]]
! '''Handbuch Qualitätsmanagement'''

'''Geltungsbereich: Pflege'''
! rowspan="2" | Expertenstandards

Kap. D.1.3.5
|-
| Wirksamkeitskontrolle bei akutem & chronischem Schmerz
|}
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'''Bewohner:'''
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'''Bitte das verwendete Schmerzeinschätzungsinstrument ankreuzen. '''(Selbsteinschätzung geht vor Fremdeinschätzung!)
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<u>'''Selbsteinschätzungsinstrumente'''</u>

 NRS   '''''' VRS

mögliche Ergebnisse: 0 = kein Schmerz – 1-3 = leichter Schmerz – 4-6 = mittelstarker Schmerz – 7-9 = starker Schmerz – 10 = stärkster vorstellbarer Schmerz<u>'''Fremdeinschätzung'''</u> BESD (siehe Formular BESD)mögliche Ergebnisse: I = „Bewohner wirkt schmerzfrei“, II = „Bewohner zeigt Hinweise auf Schmerzen“ III = _______________________________________________
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'''Interventionsgrenze für eine Anpassung der schmerzlindernden Maßnahmen:'''
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'''bei akuten Schmerzen'''

gemäß Vorgabe Expertenstandard
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'''bei chronischen Schmerzen'''

per NRS/ VRS nach Wunsch des Betroffenen oder nach pflegefachlicher Einschätzung

(Selbsteinschätzung geht vor Fremdeinschätzung!)
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'''Datum:'''
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'''Datum:'''
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'''Datum:'''
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'''in Ruhe'''
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über 3/ 10
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'''in Belastung/ Bewegung'''
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über 5/ 10
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Datum
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Uhrzeit
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'''Schmerzintensität'''

Zahl/Wort eintragen
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'''durchgeführte Schmerztherapie'''

(medikamentös)
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Hdz.
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'''Ergebnis der durchgeführten Schmerztherapie '''

Schmerzintensität (Zahl/Wort)
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Arztkontakt 

erforderlich?
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Bewohner

 wünscht weitere 

Intervention?
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Hdz.
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| width="75" |
Ruhe
| width="76" |
Belastung
| width="57" |
Uhrzeit
| width="71" |
Ruhe
| width="76" |
Belastung
| width="57" |
Ja
| width="57" |
Nein
| width="57" |
Ja
| width="57" |
Nein
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| width="67" |

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Datum
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Uhrzeit
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'''Schmerzintensität'''

Zahl/Wort eintragen
| rowspan="2" width="181" |
'''durchgeführte 

Schmerztherapie'''

(medikamentös)
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Hdz.
| colspan="3" width="209" |
'''Ergebnis der durchgeführten Schmerztherapie'''

Schmerzintensität (Zahl/Wort)
| colspan="2" width="92" |
Arztkontakt erforderlich?
| colspan="2" width="105" |
Bewohner 

wünscht weitere 

Intervention?
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Hdz.
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Ruhe
| width="68" |
Belastung
| width="48" |
Uhrzeit
| width="63" |
Ruhe
| width="82" |
Belastung
| width="35" |
Ja
| width="49" |
Nein
| width="49" |
Ja
| width="49" |
Nein
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| width="49" |

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Freigabe GF
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Geprüft ZHL
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Bearbeiter
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Version
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Datum
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Seite
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Frau Busch
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Herr Sauder
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QMB
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2.0
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September 2018
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