PQRST Pain Assessment

PQRST Pain Assessment

by: Arlene Gentallan

        The PQRST pain assessment is a tool used by medical professionals to determine and interpret the pain experience of a patient. This assessment tool is valuable because pain is subjective. So only the person having the pain is the best person that can accurately describe what he/she is experiencing. The patient's description of his/her pain provides important clues to the underlying medical condition which medical professionals can then analyze to direct management/treatment and patient care.


Provocation / Palliation
 - What are you doing / what conditions may have contributed to the onset of your pain?
  • <strenous activity, inhaling deeply, ambulation, early morning, pain while at rest>
 - What relieves your pain? (What makes it better?)
 - What aggravates your pain? (What makes it worse?)


Quality
 - What does your pain feels like? (Describe your pain.)
  • <intermittent vs. constant, sharp, dull, crushing>

Region / Radiation
 - Where do you feel the pain?
 - Does it extend to other areas of your body?
 - Where other areas of your body does your pain extend?


Severity
 - From the scale of 0-10, where 0 is no pain and 10 is the worst possible pain, how do you rate your pain?


Timing
 - When did your pain started?
  • (time, date, morning, noon, afternoon, night)
 - How long have your experienced your pain? (constant pain)
 - How long does a pain episode last? (intermittent pain)

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