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WorksheetsKURSUS PENGUKUHAN PROGRAM BEBAS KESAKITAN
Total questions: 11
Worksheet time: 6mins
Antara berikut, yang manakah merupakan dua (2) polisi operasi utama dalam pelaksanaan Program Bebas Kesakitan di Fasiliti Primer?
Pelaksanaan Audit Berkala dan Penggunaan Teknik Bukan Farmakologi
Pengukuhan Pengurusan Kesakitan dan Tahap Kesakitan Sebagai Tanda Vital Ke-5
Penglibatan Pesakit Secara Aktif dan Pengamalan Protokol Rawatan Seragam
Penubuhan Jawatankuasa PFP dan Pelaksanaan Latihan Berterusan
Mengikut Modified WHO Analgesic Ladder, jika skor kesakitan pesakit adalah 7/10, apakah kategori kesakitan dan cadangan ubat tahan sakit (analgesic) yang sesuai untuk pengurusan kesakitan akut?
PCM dan/atau NSAID, COX-2 PRN dan/atau regular
Weak Opioid (cth: Tramadol, Dihydrocodeine) digabungkan dengan PCM dan/atau NSAID, COX-2 PRN dan/atau regular
Strong Opioid (cth: Morphine, Oxycodone) digabungkan dengan PCM dan/atau NSAID, COX-2 PRN dan/atau regular
Rujuk ke Acute Pain Service untuk PCA, Epidural dan intervensi kesakitan lain.
P5VS dan Kriteria Pelaksanaan
Pelaksanaan konsep Kesakitan sebagai Tanda Vital Kelima (P5VS) mensyaratkan penilaian skor kesakitan. Mengikut prosedur kerja di Fasiliti Kesihatan Primer, pada peringkat manakah penilaian tahap kesakitan yang pertama perlu dilakukan, dan siapakah anggota yang bertanggungjawab?
Bilik Kecemasan & Rawatan; Pegawai Perubatan (PP) atau Penolong Pegawai Perubatan (PPP)
Kaunter Pendaftaran; Pembantu Perawatan Kesihatan (PPK) atau Pembantu Tadbir (PT)
Secondary Triage; Jururawat Terlatih (JT) atau Jururawat Masyarakat (JM)
Primary Triage; Penolong Pegawai Perubatan (PPP) / Jururawat Terlatih (JT) / Jururawat Masyarakat (JM) / Pembantu Perawatan Kesihatan (PPK).
Selain daripada Skala Kesakitan Kementerian Kesihatan Malaysia (MOH Pain Scale), apakah skala penilaian kesakitan lain yang disarankan untuk digunakan, terutamanya bagi kanak-kanak?
Skala Wajah IASP (IASP FACES faces scale)
Skala Glasgow Coma (GCS)
Skala Numerik (NRS)
Skala Visual Analogue (VAS).
Tindakan P5VS Mengikut Skor
Mengikut Prosedur Kerja Pelaksanaan P5VS di Fasiliti Kesihatan Primer, bilakah tindakan menilai semula tahap kesakitan pesakit perlu dilakukan selepas pemberian ubat tahan sakit?
Selepas 1 jam ubatan diberi
Selepas setengah jam ubatan diberi
Sebelum ubatan diberi
Semasa Primary Triage
Which statement best describes the relationship between Pain and Nociception, according to the definition provided in the slide?
Pain and nociception are interchangeable terms and refer to the same phenomenon
Pain can be inferred solely from activity in sensory neurons (nociception)
Pain is different from nociception and cannot be inferred solely from activity in sensory neurons
Nociception always results in a conscious experience of pain.
Process of Pain Physiology
Transduction
Transmission
Modulation
Perception
During the Assess phase of the R.A.T. approach, what is the Gold Standard Self-Report Tool recommended for adults and children over 7 years old?
FLACC Scale (Face, Legs, Activity, Cry, Consolability)
MOH Pain Scale (Combined Visual Analog Scale & Numerical Rating Scale)
IASP Face Scale (Faces used to score pain 0, 2, 4, 6, 8, or 10)
Pain Assessment History (P.A.I.N.)
When taking a comprehensive pain history using the P.A.I.N. mnemonic mentioned in the slides, what information is specifically sought under the letter 'N'?
Nerve damage or Nociceptive type of pain
Numerical Rating Scale score
C. Nature ("What does it feel like?") & Neutralising factors ("What makes the pain better?")
Novelty of pain (Acute or Chronic).
For the management of Diabetic Peripheral Neuropathy (DPN), which of the following drugs is listed as a 1st line Anticonvulsant agent?
Carbamazepine
Sodium Valproate
Gabapentin
Tramadol
P.R.I.C.E
Protection, Rest, Ice, C______, Elevation
Comfort
Compression
Cold
Cut
