Registered Nurses´ Association of Ontario

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Sample Questions for Baseline Assessment of Pain

Identify Location of Pain
Ask: Where is your pain? Is there more than one site?

Identify PQRST charachteristics

P – Provocating and precipitating factors, relieving factors

Ask:

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Q – Quality of pain (eg. burning, stabbing, gnawing, shooting, lancinating)

Ask:

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R – Radiation

Ask:

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S – Severity (use an appropriate intensity scale)

Ask:

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T – Timing

Ask:

Identify the effects of pain on function and activities of daily living.

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Registered Nurses´ Association of Ontario