DiraChart · Clinical Reference · Read-only baseline inherited by all agencies
Core Assessment Domain · 2.3
Pain Assessment
Pain as the fifth vital sign — location, intensity, quality, pattern, functional impact, and the response to the analgesic regimen, with validated scales for verbal and nonverbal patients.
Vital Signs (Core Domain) · Musculoskeletal · Neurological · every Body System reference · Pain disease overlay (3.5) · Foundations apply to every visit.
How to use this module
This module supplies the complete pain assessment and the skilled language that proves it required a licensed nurse — scale selection, functional impact, regimen evaluation, and adverse-effect monitoring. Disease-specific pain depth is added by the Pain disease overlay (3.5) and is not duplicated here. Each narrative is a structured example to be edited to the actual visit and the patient's ordered regimen.
