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    Memorial Pain Assessment Scale

    Uploaded by

    Oki Miftakhurrizqi
    This document is a pain assessment card used to evaluate a patient's pain. It contains 4 scales to assess the patient's mood, describe their pain, rate their level of pain, and measure the relief from pain treatments. The patient marks a line on each scale to self-report their mood, pain description, pain level, and pain relief.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Memorial Pain Assessment Scale

    Uploaded by

    Oki Miftakhurrizqi
    480 views1 page
    This document is a pain assessment card used to evaluate a patient's pain. It contains 4 scales to assess the patient's mood, describe their pain, rate their level of pain, and measure the relief from pain treatments. The patient marks a line on each scale to self-report their mood, pain description, pain level, and pain relief.

    Original Description:

    Assesment nyeri

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    This document is a pain assessment card used to evaluate a patient's pain. It contains 4 scales to assess the patient's mood, describe their pain, rate their level of pain, and measure the relief from pain treatments. The patient marks a line on each scale to self-report their mood, pain description, pain level, and pain relief.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    480 views1 page

    Memorial Pain Assessment Scale

    Uploaded by

    Oki Miftakhurrizqi
    This document is a pain assessment card used to evaluate a patient's pain. It contains 4 scales to assess the patient's mood, describe their pain, rate their level of pain, and measure the relief from pain treatments. The patient marks a line on each scale to self-report their mood, pain description, pain level, and pain relief.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 1

    Memorial Pain Assessment Card

    4 Mood Scale 2 Pain Description Scale


    Moderate Just noticeable

    Strong No pain
    Worst Best Mild
    mood mood Excruciating Severe
    Weak
    Put a mark on the line to show your mood. Circle the word that describes your pain.

    1 Pain Scale 3 Relief Scale

    Least Worst No relief Complete


    possible possible of pain relief of
    pain pain pain

    Put a mark on the line to show how much pain there is. Put a mark on the line to show how much relief you get.

    Fold page along broken line so that each measure is presented to the patient separately in the numbered order. Reprinted by permission. Memorial Sloan-Kettering Cancer Center Pain Assessment Card.
    A7012-AS-9

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