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Slide 1
Slide 2
PAIN ASSESSMENT
Slide 3
PURPOSE To provide guidelines for the appropriate
identification and assessment of patients who may experience
pain
Slide 4
POLICY All patients will receive pain assessments. When pain is
identified, a more comprehensive pain assessment will be completed
when warranted by the patients condition. Pain assessment will be
documented to facilitate regular reassessment and follow-up by
clinicians
Slide 5
PROCEDURE During the initial assessment and on an ongoing
basis, the patient will be asked a general screening question
regarding current or recent pain as part of the baseline data.
Clinicians will consider the patients personal, cultural,
spiritual, and ethnic beliefs when assessing pain or discomfort
When the patient or the clinician identifies pain, the following
in-depth pain assessment information will be obtained whenever
possible :
Slide 6
PROCEDURE CONTINUED Pain intensity using a rating scale (0-10)
0 = no pain 10 = unbearable pain Pain intensity should include
current pain, worst pain, and least pain using the scale. The
patient will be reassessed every visit for the existence and
intensity of pain and the effectiveness of interventions to relieve
pain
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PROCEDURE CONTINUED Pain location Pain quality, patterns of
radiation, and character. Use the patients own words whenever
possible Pain onset, duration, variations, and patterns Alleviating
and aggravating factors Present pain management regimen and
effectiveness Pain management history, to include a medication
history, presence of common barriers to reporting pain and using
analgesics, past interventions and response, and manner of
expressing pain
Slide 8
PROCEDURE CONTINUED The PATIENTS pain goal, including pain
intensity and goals related to function, activities, and quality of
life Physical exam or observation of the site of pain Secondary
symptoms related to pain such as nausea, vomiting, respiratory
distress, or nutritional compromise
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PROCEDURE CONTINUED If the patient is unable to communicate
pain using the numerical rating scale or is cognitively impaired,
the clinician will assess behavioral factors that signal pain or
discomfort and include this information in either the Pain Ad
assessment or clinical narrative note Pain assessments will be part
of the comprehensive assessment and will be updated if significant
changes occur.
Slide 10
PAIN MANAGEMENT The patients preferences for pain management
will be reflected in the pain control measures selected
Non-pharmacological interventions will be considered for the
treatment of pain Common side effects of analgesic medications will
be anticipated, and preventive measures will be implemented Patient
and family/caregiver education will focus on the use and side
effects of analgesic and/or adjuvant medications, expected
responses to therapy, and the importance of administering
medications according to prescribed dosage and frequency