Innovations in End-of-Life Care
an international journal of leaders in end-of-life care

All copyrighted materials published here with permission. Please cite these tools in the following way: Tool author. Tool title. Innovations in End-of-Life Care. publication year;Volume (Number): www.edc.org/lastacts/

From Project Safe Conduct:
Pain Management Care Path
Legends

A. Pain Assessment
B. Opioid Reference Table
C. Adjuvant Analgesics
D. Side Effects Management
E. Non-Pharmacologic Interventions for Psychosocial, Spiritual & Physical Pain
F. Patient and Family Pain Education

Pain Flow Sheet
These tools were created by the Safe Conduct Team of the Safe Conduct Project—Ireland Cancer Center & Hospice of the Western Reserve.
© 2000 by RWJ Foundation Demonstration Project.
["Reinterpreting Comprehensive Cancer Care," Vol. 4, No. 4, 2002]

The Cancer Pain Algorithm from Anna and Stuart Du Pen
Some sample decision tree charts:
Global Cancer Pain Algorithm

Pain Assessment: Routine
Constipation
Oversedation
Reassessment
Flow Chart
Progress Note

© 1999 Du Pen, Inc.
["Pain Management Near the End of Life," Vol. 1, No. 3, 1999]

Designed for use in Nursing Home Settings
From Genesis Elder Care:
Pain Audit for Customers with Dementia
© 2000 Genesis Elder Care.
[" Palliative Care in Nursing Homes," Vol. 4, No. 2, 2002]

From the Wisconsin Long-Term Care Coalition to Improve Pain Management:
Pain Algorithms
Mild (1-3), Moderate (4-6), or Severe (7-10)
The algorithms were designed to guide nurses through the pharmacological and non-pharmacological management of pain and suggest appropriate interventions for management of the nursing home resident's pain.

Guidelines for Analgesic Drug Orders
© 2000 Medical College of Wisconsin Research Foundation.
["Promoting Better Pain Management in Long-Term Care Facilities," Vol. 3, No. 1, 2001]

From Franciscan Woods, Covenant Healthcare:
Pain Management Flow Sheet
Subacute and Extended Care: Pain Management Guidelines
© 2000 Franciscan Woods, Covenant Healthcare.
["Promoting Better Pain Management in Long-Term Care Facilities," Vol. 3, No. 1, 2001]