About RADAR
The RADAR Approach is a simple, structured and easy-to-implement
set of key priorities:
Responsibility, Anticipation, Discussion, Assessment and
Response to optimise acute pain management. It is the consolidation
of a number of guidelines providing a framework for acute pain
education.
PAIN SHOULD BE ON EVERYONE'S RADAR
Responsibility
An organised and multidisciplinary approach, involving all
members of the care team, including clinical support workers,
should form the basis of acute pain management. Each member of the
team should have clearly defined roles and responsibilities. The
acute pain service, should take responsibility for providing all
staff with adequate practical training and education.
Anticipation
Pain should be anticipated wherever possible. Planning for
postoperative pain management should begin in the preoperative
period, with physical examinations, documentation of pain history
and development of a perioperative plan depending on patient needs
and local protocols (an example form is
available in self learning).
Discussion
It is important that there is effective communication between
the multidisciplinary team, ensuring the analgesic plan is
discussed and shared with all members. Treatment goals and options
should be discussed with the patient and their carers, providing
reassurance and realistic expectations.
Assessment
It is important to continually assess pain and document the
results alongside other vital sign test results. Clinical support
workers should act as patient champion. A uniform tool that is
appropriate for the majority of patient groups should be used
across the hospital setting (a downloadable pain assessment
tool is available in self learning). Regular re-assessment of
pain monitors progress and will help to identify any analgesic gaps
that may occur.
Response
A rapid response using a multi-modal regimen to minimise side
effects should be used to optimise acute pain management.
Analgesics should be administered based on quick absorption to have
a fast effect.