Problem No: Patient Name Patient DOB NHS Number Date Sign

Nursing Care Plan - Wound Pain

Problem / Need
Significant pain associated with wound/leg ulcer on ___________ patients quality of life. Enter pain score identified on initial assessment /10 Patient describes pain as:_____________________________ that is affecting the

Date

Sign

Desired Outcome
The patient will report that their pain has reduced to an acceptable level within 5 to 7 days. With 5 to 7 days the patients pain will have reduced to an acceptable level to enable optimal treatment advice to be instigated.

Date

Sign

Nursing Action
Dressings review to ensure pain free dressing application and change Review of analgesia discussed with patient Monitor progress by entering pain scoring at each visit Prescription for analgesia instigated where appropriate Use of opiates for severe pain discussed with patients where appropriate Use and action of anti-depressants and /or anticonvulsant therapy for neuropathic pain discussed with patient where appropriate. Information given regarding effective use of prescribed analgesia and any potential side effects

Date

Sign

Current Medication
List current medication including OTC medicines:

Date

Sign

Allergies

Staff Signature Designation

Print Name Date

Hampshire Tissue Viability Team May 2011 Version 1