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PAIN ASSESSMENT-THE
FIFTH VITAL SIGN

Lisa Tunney-Woelk
RN MSN CCRN
PAIN ASSESSMENT-AS EASY AS
THE NURSING PROCESS

Assessment
Nursing Diagnosis
Implementation
Evaluation
ASSESME
NT:
SUBJECTI
VE
Location
Onset
Intensity (pain scale)
Pain description (patients own words)
Aggravating factors
Reliving Factors
“History of Pain”-what's the patients
story?

Pain is subjective and feels exactly how the
patient perceives the pain:
ANXIETY IS A MAJOR
CONTRIBUTOR TO PAIN
PERCEPTION: ASSESS
ANXIETY LEVEL

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Pain the fith vitla sign