Ask probing questions to better understand pain. Many common pain assessment tools miss the mark when you're caring for patients with unfamiliar cultural backgrounds. In these situations, a pain interview can yield more accurate results. Try these pain interview formats to see if you are able to gain a better understanding of your patient's pain. Kleinman's Approach Note:
ABCDE and PQRST Mnemonics
A
sk about pain regularly; assess pain systematically.B
elieve the patient and family in their reports of pain.C
hoose pain control options appropriate for the patient, family, and setting.D
eliver interventions in a timely, logical, and coordinated fashion.E
mpower patients and their families.P
alliative/provocative factors: What makes the pain better or worse?Q
uality: Describe the pain.R
adiation: Where is the pain?S
everity: Compare this pain to other pain.T
emporal factors: Does the intensity of the pain change with time?