Words to describe pain:
(Have patient describe; avoid providing words to patient)
What does your pain feel like? What words would you use to describe your pain?
aching throbbing shooting stabbing
gnawing sharp tender burning
exhausting penetrating nagging pressure
numb miserable unbearable dull
radiating tingling crampy deep
Intensity of the pain (0-10)?
On a scale of 0 to 10, with 0 being no pain and 10 being the worst pain you can imagine… What is your pain now? Has its intensity changed? What has it been in the last 24 hours?
Location of the pain? Where is your pain? Is there more than one site?
Duration of the pain. When did your pain start? How often does it occur? Is the pain always there? Does the pain come and go? (Breakthrough Pain)
Aggravating/alleviating factors. What makes your pain better? What makes your pain worse?
How does the pain affect physical and social functioning?
sleep energy relationships appetite activity mood
Is patient experiencing pain medication side effects?
constipation sedation itching nausea urinary retention
confusion vomiting dry mouth hallucinations
Permission for the use of the WILDA Approach was given by Regina Fink, RN, PhD, FAAN, AOCN, University of Colorado Hospital, Denver