Nursing Documentation
Templates

Pain Assessment Form

Pain assessment form with OLDCARTS prompts, scale selection, a body diagram area and a reassessment log.

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Price
Free, no sign-up
Format
Printable page, save as PDF (US Letter or A4)
Sections
Patient, Onset / Location / Duration, Character / Aggravating / Relieving, Radiation / Timing / Severity, Reassessment log, Sign-off

How to use this template

  1. Use the same scale for the same patient where possible.
  2. Record the scale used, not just the number.
  3. Reassess after each intervention within your policy's timeframe.

Learn the format

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