iPall: Learn Palliative Care
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Pain Assessment

Patients may have pain whether they are able to describe it or not.  

Assessment for patients who can describe (assess) their pain:
Severity: 
  • Pcurrent - current pain level 
  • Pmax - highest level of pain since last visit 
  • Pmin lowest pain level since last visit
Location
Quality (nociceptive, neuropathic, mixed)
Timeline: 
  • Constant - pain remains at a relatively constant level, with some slight fluctuation
  • Breakthrough (or constant with breakthrough) - periodic increases in intensity
  • Incident pain or movement-related pain - sudden, short-lived, and usually severe
Effect of medications and other treatments (benefit and adverse reactions)
Psychosocial factors
Behavior and functional changes due to pain
Background medical history and physical exam
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