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    Pain Assessment

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    Suryani
    The document discusses pain assessment in infants and children, which can be challenging due to subjectivity and their limited ability to communicate pain. It then summarizes the OPQRST mnemonic for nursing pain assessment, which stands for onset, provocation/palliation, quality, region/radiation, severity, and timing. Each element of OPQRST is explained, such as asking patients about what provokes or relieves their pain, having them describe the quality of pain, and rating severity on a scale from 0-10.

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    Pain Assessment

    Uploaded by

    Suryani
    73 views1 page
    The document discusses pain assessment in infants and children, which can be challenging due to subjectivity and their limited ability to communicate pain. It then summarizes the OPQRST mnemonic for nursing pain assessment, which stands for onset, provocation/palliation, quality, region/radiation, severity, and timing. Each element of OPQRST is explained, such as asking patients about what provokes or relieves their pain, having them describe the quality of pain, and rating severity on a scale from 0-10.

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    The document discusses pain assessment in infants and children, which can be challenging due to subjectivity and their limited ability to communicate pain. It then summarizes the OPQRST mnemonic for nursing pain assessment, which stands for onset, provocation/palliation, quality, region/radiation, severity, and timing. Each element of OPQRST is explained, such as asking patients about what provokes or relieves their pain, having them describe the quality of pain, and rating severity on a scale from 0-10.

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    73 views1 page

    Pain Assessment

    Uploaded by

    Suryani
    The document discusses pain assessment in infants and children, which can be challenging due to subjectivity and their limited ability to communicate pain. It then summarizes the OPQRST mnemonic for nursing pain assessment, which stands for onset, provocation/palliation, quality, region/radiation, severity, and timing. Each element of OPQRST is explained, such as asking patients about what provokes or relieves their pain, having them describe the quality of pain, and rating severity on a scale from 0-10.

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    of 1

    Pain assessment is a broad concept involving clinical judgment based on observation of the type,

    significance and context of the individual’s pain experience. Pain assessment in infants and children is
    also challenging due to the subjectivity and multidimensional nature of pain. The dependence on others
    to assess pain, limited language, comprehension and perception of pain expressed contextually. In some
    children it can be difficult to distinguish between pain, anxiety and distress.

    So the nursing pain assessment mnemonic is OPQRST, and it stands for onset, provocation or palliation,
    quality, region or radiation, severity, and timing

    1. O = onset means what was going on when the pain began. You can ask these questions to your
    patient : what were you doing when the pain started? or had it been going on for a while?
    2. P = for provocation or palliation. Provocation means what provokes the pain, and palliation
    means what makes it better. So the 2 questions you should in this category are: What makes
    the pain worse? And what makes the pain better?
    3. Q = the Q stands for quality, and here you’ll have your patient describe the pain, meaning,
    what’s the quality of the pain?, Is it dull, stabbing, sharp, burning, tingling, throbbing,
    tearing, or something else. All of these words help describe the quality of the pain.
    4. R = stands for region or radiation, region meaning what area of the body is the pain occuring. So
    for this one, you’ll need to ask, “where is the pain located? And is it spreading or extending
    to another area?”
    5. S = the S stands for severity and here you’ll usually have your patient rate their pain on a scale of
    0-10. I like to ask, “on a scale of 0-10, with 0 being no pain at all, and 10 being the worst
    possible pain imaginable, where is your pain level at right now?”.
    6. T = And finally, the T in OPQRST stands for timing. And for this one, I consider timing to mean a
    few different things : what were they doing at the time the pain started (meaning the onset
    of the pain)?, what is the timing of the pain itself? ( is it always there, does it come and go?),
    how has the pain changed over time? (is there anything different about it than when it
    started?), and has it ever happened before?

    So that is the nursing pain assessment : OPQRST Onset, Provocation or Palliation, Quality, Region or
    Radiation, Severity, and Timing

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