This document appears to be a pain flow sheet from St. Francis Regional Medical Center in Wichita, Kansas. It contains fields to record the date/time, location of pain, pain rating on a scale of 0-10, pharmacologic or nonpharmacologic interventions used, mode of administration, any side effects, mental status, vital signs, and an evaluation of the intervention's response or comments. Nonpharmacologic interventions listed include cold, distractions, environmental control, exercises, heat, imagery, massage, music, positioning, relaxation, rocking, and TENS.
This document appears to be a pain flow sheet from St. Francis Regional Medical Center in Wichita, Kansas. It contains fields to record the date/time, location of pain, pain rating on a scale of 0-10, pharmacologic or nonpharmacologic interventions used, mode of administration, any side effects, mental status, vital signs, and an evaluation of the intervention's response or comments. Nonpharmacologic interventions listed include cold, distractions, environmental control, exercises, heat, imagery, massage, music, positioning, relaxation, rocking, and TENS.
This document appears to be a pain flow sheet from St. Francis Regional Medical Center in Wichita, Kansas. It contains fields to record the date/time, location of pain, pain rating on a scale of 0-10, pharmacologic or nonpharmacologic interventions used, mode of administration, any side effects, mental status, vital signs, and an evaluation of the intervention's response or comments. Nonpharmacologic interventions listed include cold, distractions, environmental control, exercises, heat, imagery, massage, music, positioning, relaxation, rocking, and TENS.
Patient ¡ WICHITA, KANSAS Child â Parent G Nurse ê
PAIN FLOW SHEET
Date/Time Location of Pain Pain Pharmacologic/ Mode of Source of Information BP P R Side Effects/ Evaluation of Intervention/s Initials Rating Nonpharmacologic Administration LOC Response/Comments 0-10