Promoting Excellence : Project Safe Conduct - Pain Flow Sheet

Ireland Cancer Center and Case Western Reserve University: Project Safe Conduct- Pain Flow Sheet

A one-page sheet used in assessing and recording the pain level of a patient over a period of time and with diverse staff.

Clinical Care Tools - Pain Management

Project Safe Conduct
Ireland Cancer Center
11100 Euclid Avenue
Cleveland, OH 44106-5065
(216) 844-8565
Hospice of the Western Reserve
300 E 185th St
Cleveland OH 44119

Elizabeth Ford Pitorak, MSN, APRN, CHPN
[email protected]

How the grantee used this instrument:
Used by staff to evaluate patients pain at regular intervals or every 24 hours after medication has been changed.

pain assessment, pain measures

To use this tool:
You may print and copy this tool for your own use.

Developed specifically for this project by the project team.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.
pdf PDF 63 KB / 1 page (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted October 2004

Ireland Cancer Center overview page

# ICC01, type:pain_management

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