Document Pain Assessment and Plan of Care

You can document the pain assessment details and follow-up plan of care.

1. Open NextGen® Enterprise EHR.
2. Open the Intake template.
3. Expand the Vital Signs panel, and then select the Health Promotion Plan link.
   The Health Promotion Plan template opens.
4. Expand the Pain Management panel.
   Note: The Pain level and Method fields display the details entered on the Vital Signs template. You cannot update the pain level and method in the Pain Management panel.
   

5. To manage exceptions and view measure details on the Exceptions/Measures template, select Exceptions.
6. If details are not entered in the Pain level section on the Vital Signs template, select the following fields, and select the appropriate option in the list.
   • Pain level
   • Method
   • Duration
   • Quality
7. To indicate to see the HPI details, select the See HPI checkbox.
8. Enter the location of the pain of the patient.
9. Select Onset, and select the date when the pain started.
10. Enter the follow-up plan of care for a patient or select My Phrases to select from the saved phrases.
11. Select OK.