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Pain Assessmnt

The document outlines an initial pain assessment process with 7 sections: onset and pattern of pain, location, description, intensity, aggravating/relieving factors, previous treatment, and effect on function. It also describes a psychosocial assessment covering the patient's understanding of pain, concerns about treatment, and economic/mood effects. The physical exam involves examining the pain site and relevant neurological evaluation. The diagnostic evaluation considers disease recurrence/progression, radiological studies, and their limitations.

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128 views2 pages

Pain Assessmnt

The document outlines an initial pain assessment process with 7 sections: onset and pattern of pain, location, description, intensity, aggravating/relieving factors, previous treatment, and effect on function. It also describes a psychosocial assessment covering the patient's understanding of pain, concerns about treatment, and economic/mood effects. The physical exam involves examining the pain site and relevant neurological evaluation. The diagnostic evaluation considers disease recurrence/progression, radiological studies, and their limitations.

Uploaded by

mohs2007
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Initial Pain Assessment

1. Onset and temporal pattern — When did your pain start? How often does it
occur? Has its intensity changed?
2. Location — Where is your pain? Is there more than one site?
3. Description — What does your pain feel like? What words would you use to
describe your pain?
A. Assessment 4. Intensity — On a scale of 0 to 10, with 0 being no pain and 10 being the worst
of pain intensity pain you can imagine, how much does it hurt right now? How much does it hurt at its
and character worst? How much does it hurt at its best?
5. Aggravating and relieving factors — What makes your pain better? What makes
your pain worse?
6. Previous treatment — What types of treatment have you tried to relieve your
pain? Were they and are they effective?
7. Effect — How does the pain affect physical and social function?
1. Effect and understanding of the cancer diagnosis
and cancer treatment on the patient and the
caregiver.
2. The meaning of the pain to the patient and the
family.
3. Significant past instances of pain and their effect
on the patient.
4. The patient's typical coping responses to stress
or pain.
B. Psychosocial Psychosocial assessment
assessment should include the following: 5. The patient's knowledge of, curiosity about,
preferences for, and expectations about pain
management methods.
6. The patient's concerns about using controlled
substances such as opioids, anxiolytics, or
stimulants.
7. The economic effect of the pain and its
treatment.
8. Changes in mood that have occurred as a result
of the pain (e.g., depression, anxiety).
1. Examine site of pain and evaluate common referral patterns.
C. Physical and Head and neck pain — cranial nerve and fundo-
neurologic scopic evaluation.
2. Perform pertinent neuro-
examination
logic evaluation. Back and neck pain — motor and sensory func-
tion in limbs; rectal and urinary sphincter function.
1. Evaluate recurrence or Tumor markers and other blood tests.
progression of disease or tis-
Radiologic studies.
sue injury related to cancer
treatment. Neurophysiologic (e.g., electromyography) testing.
2. Perform appropriate radiologic studies and correlate normal and abnormal findings
with physical and neurologic examination.
D. Diagnostic
evaluation Bone scan — false negatives in myeloma, lym-
phoma, previous radiotherapy sites.
3. Recognize limitations of CT scan — good definition of bone and soft tissue
diagnostic studies. but difficult to image entire spine.
MRI scan — bone definition not as good as CT;
better images of spine and brain

Adapted from Management of Cancer Pain, Clinical Guideline Number 9. AHCPR Publication No. 94-0592: March 1994. Agency for
Healthcare Research & Quality, Rockville, MD.

A7012-AF-2

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