Pain Evaluation - DIGITAL FORM
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Updated 2022
Briggs Pain Evaluation form compliments your compliance with F697.
It includes the Wong-Baker FACES® Pain Rating Scale as well as the PAINAD Scale (used when the individual is unable to communicate the level of pain or be interviewed) to collect and evaluate an individual's pain level, intensity, frequency, location, etc.
It provides prompts for recording:
•The pain management program
•The effect pain has on the individual's function
•Relief of pain
•Non-pharmaceutical interventions
•Effectiveness of medication/interventions
•Plan of care
•Progress notes, etc.
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*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.
Delivery: Digital*
Digital/electronic merchandise & subscriptions: all digital and electronic products and subscriptions are non-refundable and non-returnable.
*This digital form is delivered as a form-fillable PDF and includes 1-year of updates. To receive your electronic file and updates you must complete and return a content license agreement and provide an end-user email address and contact name for file delivery (please allow 2-3 business days for order fulfillment). After 1- year, your update subscription will automatically renew.