I am a student in an LPN program, end of my 2nd quarter out of 5 quarter program.
I am working on an essay question for a self-study take home test. One of the questions asks how I would assess a patient with post/op pain in order to understand their level of distress. I've read the chapter on pain, and I understand all about the 1-10 pain rating scale. What other particular questions should I ask? "Where is it located? Can you describe it? Is it constant? Sharp/dull?" What else? I tried searching this web site, but couldn't find any questions to ask the patient (nor on Google).
I have to turn this test in next Monday. (Dec. 3, I think). Any words of wisdom would be greatly appreciated!
I like to use the OPQRST protocol, it gives a pretty good picture:
Onset - What were you doing when the pain started? Did the pain come on suddenly or gradual?
Provocation - does anything make the pain go away? Does anything make it worse?
Quality - how would you describe the pain? Is it pain or pressure? Is it steady? (try not to put words in the pts mouth, let them describe the sensation).
Radiation - Does the pain move? Where does it hurt the most? (Pointing with one finger is a good way to get specificity).
Severity - the 1-10 scale. Ask how it feels now and how it felt when the pain began.
Time - when did the pain start? Ever feel anything like this before? (If yes, find out what happened).
Modify as necessary depending on the situation.
Last edit by emtb2rn on Nov 27, '07
: Reason: forgot a word here and there...