Nursing Pain Assessment Documentation
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Create a comprehensive pain assessment documentation for patient in [unit/department].

Patient details:
- Age: [age]
- Diagnosis: [primary diagnosis]
- Pain location: [describe]
- Pain scale: [0-10]
- Pain type: [sharp/dull/burning/throbbing/aching]
- Onset: [when started]
- Duration: [how long]
- Frequency: [constant/intermittent]
- Aggravating factors: [what makes it worse]
- Relieving factors: [what helps]
- Associated symptoms: [nausea/vomiting/etc]
- Current pain medications: [list]
- Non-pharmacological measures tried: [list]
- Effect on ADLs: [describe impact]
- Patient pain goal: [acceptable level]

DOCUMENTATION SHOULD INCLUDE:

1. PAIN ASSESSMENT FINDINGS
   - Comprehensive pain description
   - Patient's own words in quotes
   - Functional impact

2. INTERVENTIONS IMPLEMENTED
   - Medications administered with times
   - Non-pharmacological measures
   - Patient education provided

3. REASSESSMENT
   - Time of reassessment
   - Response to intervention
   - New pain score
   - Plan going forward

4. COMMUNICATION
   - Physician notified: [if applicable]
   - Family updated: [if applicable]
   - Charge nurse informed: [if applicable]

Note: Use placeholder information only — never enter real patient data into AI tools

Source: https://promptzyo.com/prompt/nursing-pain-assessment-documentation