Assessing Pain

Category: Assessment
Status: Stub — content coming soon


Purpose

Describe the nurse’s role in pain assessment.

Assessment Frameworks

OLDCARTS

ElementQuestion
OnsetWhen did it start?
LocationWhere is it?
DurationHow long does it last?
CharacterWhat does it feel like?
Alleviating/AggravatingWhat makes it better or worse?
RadiationDoes it spread anywhere?
TemporalIs it constant or intermittent?
SeverityRate it 0–10

Pain Scales

  • NRS (Numeric Rating Scale): 0–10 — adults with intact cognition
  • FACES Scale: pediatric / cognitively impaired
  • FLACC: nonverbal/behavioral (pediatric)
  • CPOT: nonverbal adults in critical care

Normal/Baseline

  • Goal: patient-defined acceptable pain level

Notes

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