PQRST Pain Assessment

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  • čas přidán 26. 08. 2024
  • Pain is an unpleasant experience that results from both physical and psychological responses to injury. A complex set of pathways transmits pain messages from the periphery to the central nervous system, where control occurs from higher centres.
    The PQRST method of assessing pain is a valuable tool to accurately describe, assess and document a patient's pain. The method also aids in the selection of appropriate pain management interventions and evaluating the response to treatment.
    P stands for provocation or palliation. What provoked the pain? What makes it worse? What makes it better? Did the pain occur at rest or during exertion? Did the pain wake the patient up?
    Q for quality. This could be sharp, dull, squeezing, a slight pressure, a burning or aching pain, a pounding pain, colic-like or cramping, or a stabbing pain.
    R for radiates. Does the pain move anywhere? Ask the patient to point to anywhere they feel pain.
    S for severity. Ask the patient to rate the pain on a scale of 0 to 10. Where 0 is no pain, and 10 is the worst pain imaginable.
    T for time. Ask the patient: when did it start? Was the onset slow or sudden? How long has it lasted? Is it a constant or intermittent pain? Does it come and go? Have you had the pain previously? Is it the same as previously or is it different from last time?
    Remember to document all your observations.
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