SOCRATES (pain assessment) explained

SOCRATES is a mnemonic acronym used by emergency medical services, physicians, nurses, and other health professionals to evaluate the nature of pain that a patient is experiencing.

Uses

SOCRATES is used to gain an insight into the patient's condition, and to allow the health care provider to develop a plan for dealing with it.[1] [2] It can be useful for differentiating between nociceptive pain and neuropathic pain.[3]

Adverse effects

SOCRATES only focuses on the physical effects of pain, and ignores the social and emotional effects of pain.[4]

Procedure

SOCRATES!Letter!Aspect!Example Questions
SSiteWhere is the pain? Or the maximal site of the pain.
OOnsetWhen did the pain start, and was it sudden or gradual? Include also whether it is progressive or regressive.
CCharacterWhat is the pain like? An ache? Stabbing?
RRadiationDoes the pain radiate anywhere?
AAssociationsAny other signs or symptoms associated with the pain?
TTime courseDoes the pain follow any pattern?
EExacerbating / relieving factorsDoes anything change the pain?
SSeverityHow bad is the pain?

History

SOCRATES is often poorly used by health care providers.[5] Although pain assessments usually cover many or most of the aspects, they rarely included all 8 aspects.

See also

Notes and References

  1. Clayton. Holly A.. Reschak. Gary L. C.. Gaynor. Sandra E.. Creamer. Julie L.. December 2000. A novel program to assess and manage pain. Medsurg Nursing. English. 9. 6. 318–312. ProQuest.
  2. Swift. Amelia. 1 October 2015. The importance of assessing pain in adults.. Nursing Times. English. 111. 41. 12–17. 26647478. Europe PMC.
  3. Schofield. Marcia. Shetty. Ashish. Spencer. Michael. Munglani. Rajesh. May 2014. Pain : Part 1. British Journal of Family Medicine. English. 2. 3.
  4. Gregory. Julie. 2019-08-31. Use of pain scales and observational pain assessment tools in hospital settings. Nursing Standard. en. 34. 9. 70–74. 10.7748/ns.2019.e11308. 201675367 . 0029-6570.
  5. Manna. Aditya. Sarkar. S. K.. Khanra. L. K.. 2015-04-01. PA1 An internal audit into the adequacy of pain assessment in a hospice setting. BMJ Supportive & Palliative Care. en. 5. Suppl 1. A19–A20. 10.1136/bmjspcare-2015-000906.61. 2045-435X. 25960483. 206923364 .