Manual: Pain Management Policy and Procedure Manual (Ver 2) External Reference: (JCAHO PC.8.10, RI.2.160, MM.3.10, MM.5.10, MM.6.10)
As the health care industry’s most comprehensive library of customizable policy and procedure templates, MCN Healthcare’s Pain Management Policy and Procedure Manual includes this customizable template, Pain Reassessment Form (Sample). MCN’s policy library helps you meet compliance with Joint Commission and federal regulations including CMS, CDC, OSHA, OIG, HIPAA and more. Health care organizations around the world utilize MCN’s compliant ready templates and workflow process tools to help them meet the latest changes in regulations and standards. Here is some sample content from Pain Reassessment Form (Sample):
| | PAIN REASSESSMENT FORM
Date:
Patient's Name:
Diagnosis:
Physician:
Nurse:
Has the patient's pain been reassessed?
Location:
Vital Signs:
Intensity: Patient rates the pain. Scale used:
Present:
Best pain gets:
Quality: Use patient's own words, i.e., prick, ache, burn, throb, pull, sharp
Onset, Duration, Variations, Rhythms:
Manner of Expressing Pain:
What Relieves the Pain?
What Causes or Increases the Pain?
Effects of Pain: Note decreased function, decreased quality of life.
Accompanying symptoms i.e., nausea
Relationship with others i.e., irritability
Appetite... |
| Second excerpt: |
| | ...of Pain: Note decreased function, decreased quality of life.
Accompanying symptoms i.e., nausea
Relationship with others i.e., irritability
Appetite
Concentration
Sleep
Emotions i.e., anger, suicidal, crying
Physical Activity
Other
Plan:
Additional Comments:
Reference #2012 Pain Management... |
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