Promoting Excellence : Pain Assessment Tool - University of Pennsylvania School of Nursing

University of Pennsylvania School of Nursing/Genesis Eldercare: Pain Assessment Tool

Used to record pain assessments, interventions, and outcomes for patients enrolled in the ElderCare palliative care program.

Clinical Care Tools — Pain Management

University of Pennsylvania
School of Nursing
Hartford Center of Geriatrics
420 Guardian Drive
Philadelphia, PA 19104-6096

Neville Strumpf, PhD,RN
[email protected]

How the grantee used this instrument:
Used for baseline and ongoing pain assessment as needed.

nursing home residents, pain, assessment, long-term care, pain measures

To use this tool:
You may print and copy this tool for your own use from the website. Please credit source.

Howard Tuch, MD, Genesis ElderCare (University of Pennsylvania Project)
This tool consists of a combination of items from existing tools, prepared for use by Genesis ElderCare in their long-term care network.

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 158 KB / 2 pages (Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted October 2004

University of Pennsylvania overview page

# UP07, type:pain_management

Promoting Excellence in End-of-Life Care was a national program of the Robert Wood Johnson Foundation dedicated to long-term changes in health care institutions to substantially improve care for dying people and their families. Visit for more resources.

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