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MED-PASS:  The Fine Art of Document Design

Pain Flow Sheet - 100/pad


Availability: In stock

Price: $10.75
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Designed to document ongoing and episodic treatments for pain, this form includes three options for documenting pain intensity.

Also see the Pain Flow Sheet (item # MP4902) which is similar in content and format but includes a fourth option for documenting pain intensity - the Abbey Pain Scale.
  • Nursing staff is prompted to document precipitating factors, non-med interventions, side effects and intensity of pain after intervention has been initiated
  • Includes three options for documenting pain intensity - 5-point scale, 10-point scale and verbal descriptors
  • Provides numerous code keys to simplify documentation include pain type, frequency, verbal descriptors, non-verbal indicators, non-med intervention and side effects
  • This form can accommodate up to 26 episodes of pain and includes a section for narrative notes on side two
Size 8-1/2 x 11
Unit Pad of 100
Other Info Handwritten
Hole Punch 5 holes left, 5 holes top

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