When assessing a patient’s pain, hospice staff will often consider its:
Location : Where is the pain?
Onset : When did it start?
Onset : How did it start or what caused it?
Intensity : Average pain level – What is the intensity of the pain? Is it mild, discomforting, distressing, excruciating? A commonly used pain rating scale is the 0-10 pain scale such as the examples below:
You can implement the 0-10 pain scale by first explaining that zero means no pain and 10 is the most unbearable pain ever experienced. Ask the patient to rate her pain between 0 and 10. Visualization of the pain scale sometimes assists the patient to better assess her degree of discomfort. You can make a 0-10 pain-rating scale by drawing a horizontal line on a piece of paper. Write a zero on one end and a 10 on the opposite end. Fill in the numbers in between. The 1-4 range is considered to be mild pain, the 5-6 range is moderate pain, and the 7-10 range is severe pain. However, one patient may be able to tolerate pain in the 6 or 7 range, for example, while another patient may need pain relieved to a 1 or 2 in order to be comfortable. Again, pain is subjective and individualized. (The Final Journey Pg.80)
*For further information on Pain Assessment and Management, please refer to The Final Journey —
See Store Page on this website.