Name:
Ireland Cancer Center and Case Western Reserve University: Project
Safe Conduct- Pain Flow Sheet
Description:
A one-page sheet used in assessing and recording the pain level of a patient
over a period of time and with diverse staff.
Category:
Clinical Care Tools - Pain Management
Source:
Project Safe Conduct
Ireland Cancer Center
11100 Euclid Avenue
Cleveland, OH 44106-5065
(216) 844-8565
www.irelandcancercenter.org
and
Hospice of the Western Reserve
300 E 185th St
Cleveland OH 44119
216.383.3700
www.hospicewr.org
Contact:
Elizabeth Ford Pitorak, MSN, APRN, CHPN
epitorak@hospicewr.org
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.
Keywords:
pain assessment, pain measures
To use this tool:
You may print and copy this tool for your own use.
References:
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 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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