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HealthPromotingHospitals
Veneto Region Network
Pain Free Hospitals: The educational training of the HPH Veneto Region Network
Health
Promoting
Hospitals
Veneto
Region
Network
13th International Conference on HPHs
Dublin, May 18-20 2005
Sabrina Marconato M.D.University of Padua (Italy)
13th International Conference on HPH – Dublin 18-20 may 20052
HealthPromotingHospitals
Veneto Region Network
NORTH- EAST OF ITALY
4.5 MILLIONS OF INHABITANTS
MAIN TOWN VENICE
18,364 Km2
Veneto Region
13th International Conference on HPH – Dublin 18-20 may 20053
HealthPromotingHospitals
Veneto Region Network
Veneto Territory is divided in :Veneto Regional Health System
22 Health Social Local Trusts (HSLT)
Each HSLT
2-3 Hospitals
1 General Director
Territorial Sanitary and Social Services
13th International Conference on HPH – Dublin 18-20 may 20054
HealthPromotingHospitals
Veneto Region Network
6 Health Social Local Trusts (HSLT)
STARTED
IN 2002
FOR PREPARING THIS HPH PAIN
FREE
TRAINING
Hospitals + their Territory Health Services
13th International Conference on HPH – Dublin 18-20 may 20055
HealthPromotingHospitals
Veneto Region Network
WHY EDUCATIONAL TRAINING ?
13th International Conference on HPH – Dublin 18-20 may 20056
HealthPromotingHospitals
Veneto Region Network
A
POLYCENTRIC SURVEY
IN
11 HOSPITALS
SHOWED
13th International Conference on HPH – Dublin 18-20 may 20057
HealthPromotingHospitals
Veneto Region Network
% Distribution of the percentage of pain
Perceived by patients
48%(594)
20%(242)
10%(128)
22%(270) absent
mild
moder.
severe
1325 INPATIENTS
52 % pain
(IC 95% 49-55%)
13th International Conference on HPH – Dublin 18-20 may 20058
HealthPromotingHospitals
Veneto Region Network
•Only 51,2 %
• Percentage of CORRECT answers IC (95%): 50.5-51.9
1636 OPERATORS (DOCTORS & NURSES)
Knowledge / Behaviours
were interwieved on
13th International Conference on HPH – Dublin 18-20 may 20059
HealthPromotingHospitals
Veneto Region Network
THE EDUCATIONAL TRAINING
13th International Conference on HPH – Dublin 18-20 may 200510
HealthPromotingHospitals
Veneto Region Network
Introduction on HPHWhat is the HPH NetworkThe importance of Pain Management in HPH The Policentric Survey of HPH Veneto Region
TRAINING CONTENTS Theoretical Contents
”Practical” Contents
Physiopathology and pharmacology of pain
Pain management throught the eyes of different specialists:Internist, Surgeon, Oncologist, Paeditricians…
Supported by a videocassette
13th International Conference on HPH – Dublin 18-20 may 200511
HealthPromotingHospitals
Veneto Region Network
La misurazione del dolore nel bambino.
Technical Aspects on pain measurement
VIDEOCASSETTE
Scenes Played by actors
13th International Conference on HPH – Dublin 18-20 may 200512
HealthPromotingHospitals
Veneto Region Network
A same Pain Scale is a MILESTONE for a common work
Technical Aspects Presentation of the Pain Scale which were adopetd
- Numerical Rating Scale (NRS) was adopted for adult patient
- Easy to be used
- Easy to show to patients how it works
- Easy & Fast to record : the values are whole numbers
N.R.S.
0 1 2 3 4 5 6 7 8 9 10
Absent pain
The most severe imaginable pain
13th International Conference on HPH – Dublin 18-20 may 200513
HealthPromotingHospitals
Veneto Region Network
Young children do not understand the meaning of numbers
Technical Aspetcs Bieri Scale in children 4-7 years old
- What is the face that is like your pain ?
0 2 4 6 8 10
Absent pain
The most severe imaginable pain
13th International Conference on HPH – Dublin 18-20 may 200514
HealthPromotingHospitals
Veneto Region Network
THE SCENES
Actors play the scenes in the role of doctors, nurses and patients
13th International Conference on HPH – Dublin 18-20 may 200515
HealthPromotingHospitals
Veneto Region Network
First scene to be watched :
INCORRECT beahviour (by doctors and nurses) in measuring pain in adult patient
3 SCENES ARE PLAYED
Audience has to watch the incorrect scene
Then a discussion is opened
13th International Conference on HPH – Dublin 18-20 may 200516
HealthPromotingHospitals
Veneto Region Network
Discussion facilities
Booklet
With notes to help the audience in observing the
verbal and not verbal communication
With the texts of the scripts played by actors
With exercises: to write the correct conversation
13th International Conference on HPH – Dublin 18-20 may 200517
HealthPromotingHospitals
Veneto Region Network
After the discussion the other (correct) scenes are showed
Second scene: Correct behaviour in measuring pain in adult patient
Third scene: Correct behaviour in measuring pain in children
13th International Conference on HPH – Dublin 18-20 may 200518
HealthPromotingHospitals
Veneto Region Network
Veneto Region Govern
Adopted this HPH Training for all the doctors and nurses of Veneto Region
