Pain Assessment (Pnemonics)

P: Provokes/point. What causes the pain? Point to the pain?

Q: Quality. Is it dull, achy, sharp, stabbing, pressuring, deep, etc.?

R: Radiation/relief. Does it radiate? What makes it better/worse?

S: Severity/S&S. Rate pain on 1–10 scale. What S&S are associated with the
pain (dizziness, diaphoresis, dyspnea, abnormal VS)?
T: Time/onset. When did it start? Is it constant or intermittent? How long
does it last? Sudden or gradual onset? Frequency?

Nursing Care

■ Assess pain: Use tools/scales

■ Provide comfort: Positioning, rest

■ Validate pt’s pain: Accept that pain exists

■ Relieve anxiety/fears: Answer questions, provide support

■ Teach relaxation techniques: Rhythmic breathing, guided imagery

■ Provide cutaneous stimulation: Backrub, heat and cold therapy

■ Decrease irritating stimuli: Bright lights, noise, ↑↓room temp

■ Use distraction (for mild pain): Soft music; encourage TV/reading

■ Provide pharmacologic relief: Administer meds as ordered

■ Evaluate pt response: Document; modify plan

NCLEX Pain, Nursing Care, Nursing Pain
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