Pain Assessment GameOnline version You are a nursing student learning how to document a comprehensive pain assessment. Listen to the conversation between a nurse and patient, then fill out the OLDCART assessment sheet with the information you heard. by Danielle Stephen Nurse Good morning, sir! How are you today? Patient I'm not doing too good. I am having some pain. Nurse When did the pain start? Patient I have had the pain for about a week but not all the time; it's on and off. Nurse Where does it hurt? Patient The pain is usually in my stomach on my upper right side, but sometimes I feel pain in my back. Sometimes I feel nauseated and throw up! Nurse How long has this pain been going on and how long does it last? Patient I first noticed the pain about a week ago, it's off an on, and usually lasts about one to three hours. Sometimes the pain wakes me up at night. Nurse What would you rate your pain on a scale of 1 to 10, 10 being the worst? Patient Sometimes between 2 and 5, other times between 5 and 9. Nurse What do you think causes the pain or makes it worse? Patient I notice the pain more after I eat a big meal, especially with fried foods. Nurse Is there anything that makes the pain better, or what have you done to relieve the pain? Patient Sometimes I use a heating pad, drink warm tea, or take Tylenol, but when the pain is really bad nothing seems to help. Nurse OK Sir, we will do a physical assessment, notify the physician, and get some X-rays and an ultrasound to check your gallbladder. Patient Thank you, nurse!
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