mnemonic for pain assessment

Other questions to ask and look for.... Any medication or allergies? E - Endocrine + Electrolyte. MEASURE mnemonic for wound assessment Using the MEASURE Mneumonic for wound assessment and management can. E - Environmental . ... (2013) A comparison between behavioral and verbal report pain assessment tools for use with residents in long term care. pain history. ASSESSMENT MNEMONICS Page 1 of 2West Virginia Office of Emer gency Medical Services – Statewide Protocols ... Used to assess PAIN. Abstract. Additional Characteristics For pain. Education. Alert – the patient is fully awake and opens the eyes spontaneously. Self reporting of pain is the recommended method to assess severity. 1) Shoulder Pain: Head and neck exam: Checked for bruises, neck movements and signs of head trauma. Orthopaedic Assessment. Pain – the patient only responds when a painful stimulus is elicited. ... AVPU PERRLA : This is the mnemonic to establish level of responsiveness. Q: Quality Can you describe the pain for me? 2. Author Information. Here is a mnemonic from category Physical exam named Abdominal Assessment: Distension: liver problems, bowel ... muscular tension when touched E viseration/ E cchymosis R ebound tenderness: infection M asses Mnemonic: To assess abdomen, palpate all 4 quadrants for DR. GERM Useful! 2. This may also be assessed for pain now, compared to pain at time of onset, or pain on movement. It is very important to ask all the important questions to determine your final diagnosis. It is a simplification of the Glasgow Coma Scale, which assesses a patient response in three measures: eyes, voice and motor skills. Modified Ashworth Scale (Bohannon and Smith, 1987) has 1+ grading between grades 1 and 2. 3. Use of validated pain assessment instruments to assess pain in critically ill patients is poor. Pain Assessment: “OPQRSTU” Assessment of pain is a crucial part in the role of nurses, and as such utilizing a problem-solving process becomes part of the equation. Provocation or … is an NP, Immanuel Fontenelle Nursing Home, Omaha, Neb. Q: Quality Can you describe the pain for me? Pain Assessment. Pain scales are a necessity to assist with better assessment of pain and patient screening. To identify and characterize the pain symptoms, EMTs or doctors can use SOCRATES rule. Symptoms (reported): At least 1 symptom in 3/4 of the following categories: Sensory – Hyperaesthesia and/or allodynia; Vasomotor – Temperature asymmetry and/or skin colour changes and/or skin colour asymmetry; Sudomotor/Edema – Edema and/or sweating … The old rationale was to give morphine for pain relief, decrease heart rate and anxiety, and decrease oxygen demand. Past medical history (PMH) Patient examination organization. The mnemonic is: UPPER STOMACH. Was the onset slow or sudden? Tip 5: Document the TIME of pain onset. T for time. Bonita Krohn, APRN, C-GNP. PINCHES ME is a useful mnemonic for the review of possible causes for delirium : P - Pain. How long has it lasted? As you gain experience, you will conduct the assessment in a way that works for you and will become faster overtime. The words pain and suffering are often used interchangeably. Pain Management Nursing; 14: 4, e106-114. What provoked the pain? The papers published deal with the aetiology, pathophysiology and prevention of cardiac arrest, resuscitation training, clinical resuscitation, and experimental resuscitation research, although papers relating to animal studies will be published only if they are of exceptional interest and … Discuss history questions that will help … With her first set of observations all in a normal range, the pain assessment tool acronym “OLDCART” which stands for Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors/Radiation and Treatment was used to assess our patient's pain. A new mnemonic for chest pain assessment J Emerg Nurs. the uterus is divided into four imaginary quadrants with the linea nigra and a mediolateral line running through the umbilicus acting as the vertical and the horizontal axes respectively; the deepest pocket devoid of an … 0 being no pain, and 10 being the most extreme pain imaginable. Table 2.3 lists examples of prompting questions using this mnemonic. Taking a history from a patient suffering from acute or chronic pain is necessary for correct examination and providing medical care. Pain history checklist . The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client’s main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. Krohn, Bonita APRN, C-GNP. Did the pain occur at rest or during exertion? You can then provide the patients with options for pain relief, deliver the possible interventions and enable the patient to have pain control. The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client’s main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. In such patients, health professionals rely on the observation of behaviour to assess pain. Among the measures employed to provide relief from pain, administration of analgesic drugs is probably the one that is most often misunderstood and abused. Did the pain happen suddenly, or had it been coming on for a while? Severity: Remember, pain is subjective and relative to each individual patient you treat. assessment findings could indicate potential cardiovascular problems. OLD CARTS - Mnemonic for Symptom Assessment O - Onset – acute vs gradual L - Location D - Duration C - Characteristics A - Aggravating factors R - Relieving factors T - Treatments (and response) S - Severity #OLDCARTS #Mnemonic #Symptoms #Assessment #diagnosis #history #interview. Have an open mind for any response from 0 to 10. The original mnemonic stood for: M orphine. It can be stressful wondering if you have thought of every emergent diagnosis and you will always question if you are missing something. The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client’s main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. Table 2.3 lists examples of prompting questions using this mnemonic. A mnemonic is a concise phrase in which each letter stands for a word. The SOCRATES pain assessment mnemonic is a simple way of helping medical history takers remember 8 quick-fire questions that can be asked to any patient in any type of pain. SOCRATES is a good mnemonic for remembering the different … Cellulitis Assessment : Mnemonic. This assessment is especially useful for patients with possible cardiac problems . What makes the pain better? Extra-thoracic organs (eg, stomach, gallbladder, liver, pancreas) Diseases of viral origin (eg, epidemic pleurodynia, herpes. In back pain, studies with capsaicin plaster have demonstrated that 60% of patients experienced at least 30% reduction in pain, compared to 42.1% in the placebo group. It is associated with disability, health care expenses, and a loss of wages and productivity. These steps may be remembered through the acronym “ABCDE.”. Mnemonic: FVC3 F – Frequency/# of episodes V – Volume/amount C – Color C – Content C – Consistency. I – Inflammatory / I nfectious. The purpose of this learning package is to help nurses to gain the knowledge and skill required to effectively manage the unique challenges inherent in the assessment and management of pain in a long-term care setting. Onset – Did the pain start suddenly or gradually get worse and worse? The AVPU mnemonic is a mnemonic used by first aiders in quickly assessing the level of consciousness of the patient. Article provides an overview of the ABC's of pain. PAIN. N - Nutrition. N- N eoplastic. Next Edition: 2 edn Latest edition (2 ed.) Voice – the patients’ response to verbal stimuli or only when you talk. A systematic review of chest pain characteristics utilising the aid of a mnemonic tool may aid in confirming the pain's origin (Newberry et al. N itroglycerin. MONA is getting less important all the time. The AVPU scale (an acronym from "alert, verbal, pain, unresponsive") is a system by which a health care professional can measure and record a patient's level of consciousness. Alert – the patient is fully awake and opens the eyes spontaneously. Mnemonic for Characteristics of pain: (SOCRATES) By Ammar Abdelfattah on Monday, 10 October 2011 at 05:08 Mnemonic for Characteristics of pain:(SOCRATES) SOCRATES is a mnemonic used by emergency medical services, doctors, nurses and other health professionals to evaluate the nature of pain that a … Patient profile (PP) Physical exam for 'lumps and bumps'. Then try our Pain Mnemonic for USMLE Step 2 CS. The OLD CARTS mnemonic helps remember the health assessment steps for a patients current condition: Onset. - 5 – 7 = moderate pain, - 8 – 10 = severe pain. Mnemonic for characteristics of pain 1. The SOCRATES mnemonic is a pain assessment framework that is widely used by healthcare professionals to help them to remember to ask about key questions concerning a patient's pain. mnemonic tool used called “OPQRST”. ˜˚˛˝˙ˆˇ˘ ˝ ˚˙ ˚ ˚˛˙ ˙ ˇ ˘ 5 BACKGROUND Assessment and Management of Pain, Third Edition How to Use this Document This nursing best practice guidelineG is a comprehensive document, providing resources for evidenceG-based nursing practice and should be considered a tool, or template, intended to enhance decision making for individualized care. The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client’s main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. • Should the patient be unable to comprehend the numerical scale, a verbal rating scale can be used with the patient describing severity as no pain, mild, moderate or severe. Use the COLDSPA mnemonic as a guideline for informa-tion to collect. For example, definitions of pain in the dictionary include bodily suffering, mental/emotional suffering, or distress, and suffering is defined as the bearing of pain or distress. admin October 16, 2018, 1:24am #1. mnemonics.jpg 1280×800 152 KB. Using Pain Assessment Tools. It is commonly caused by either Streptococcus pyogenes or Staphylococcus aureus. Severity: Remember, pain is subjective and relative to each individual patient you treat. Got a better mnemonic for the same? 3 It is understandable that these words are intertwined in relation to cancer patients in pain. 2) Lower back pain: Back exam :Inspection, palpation, range of motion. The effective management of pain is therefore paramount to any palliative service. 11. He claims that he feels the pain in both of his elbows, and describes it as ‘fire burning within his elbow joints.' Pain is a subjective experience that is difficult to assess. Mnemonic: Royal Challengers Team Smashes 3 goals (RCTS3) R – Radiation T – Timing C – Character S – Site of pain S – Severity of pain S – Shifting of pain. It stands for: O: Onset. Background Pain is the most common presenting symptom of patients referred to palliative services. Learn how to best approach, manage, and treat chest pain using this simple 4-2-1 mnemonic to remember emergent causes in emergency department. Modified Ashworth Scale (Ansari et.al., 2006) has been described here. Pain history checklist. Ocular bobbing vs. dipping. This assessment is similar to what you will be required to perform in nursing school. The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client's main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. Shows picture, patient marks where it hurts. C - Constipation. It is unlikely that any of us come through life without relying on a mnemonic at some time or another. Resuscitation is a monthly international and interdisciplinary medical journal. C – C ongenital. Although the order of the mnemonic has never been in the order to give, it is even more complicated today. Focused chest pain assessment, 12-lead ECG performance, emergent administration of loading medications such as aspirin, and an anti-platelet agent are imperative to the survival of heart muscle and patient lives. D-D egenerative / D eficiency / D rugs. View Pain Assessment Assignment.docx from NURSING 3018 at Liberty University. 3. Pain is one of the most common chief complaints that will be tested during your USMLE step 2 CS exam. 3. However, there are distinct NOTE: Make sure to wash your hands or wear gloves before you start physical examination. arthritis) and cancer pain are most likely types of which of the following categories of pain? How long did it last? Appropriate trial of opioid therapy, with or without adjunctive medication. Overview Detailed, thorough, frequent neurological assessments Early detection + early treatment = better outcomes Nursing Points Assessment Varies by Location MCA – classic FAST symptoms → contralateral manifestations Basilar – decreased LOC, loss of vision, abnormal pupil response Brainstem – loss of BP regulation, Respiratory Failure, dysphagia FAST Facial Droop … Learning the skills of focused assessment can be challenging for medical students and residents. It is important to document the score the patient tells you as pain is a subjective experience. These help EMS remember the order of medical assessments and treatments. Reassessment of pain score and level of function. What makes it worse? Zoster, costochondritis) Hope that mnemonic helped. Aorta: Dissection or aneurysm. It is mostly used in emergency medicine protocols, and within first aid. Authors Lorene Newberry 1 , Gwendolyn K Barnett, Nancy Ballard. anxiety. So let's take the first letter 'S', which stands for 'Site'. Tip 2: Document what causes VARIABILITY of pain. The SAMPLE history is a mnemonic that Emergency Medical Technicians (EMT) use to elicit a patient’s history during the early phases of the patient assessment. The effective management of pain is therefore paramount to any palliative service. R-Radiation…does the pain radiate to other parts of the body; S-Severity…scale of 1 to 10; T-Timing…how long has the pain lasted/intermittent or continuous; In addition to using these mnemonics to perform any pain assessment, be sure that your students step back and ask the following question for any patient complaint of pain: Background Pain is the most common presenting symptom of patients referred to palliative services. Tip 4: Document the LOCATION of pain. Cellulitis is a rapidly spreading acute inflammation with infection of skin and subcutaneous tissue that spreads widely through tissue spaces. 1. Where 0 is no pain, and 10 is the worst pain imaginable. Nurse asks questions concerning location, duration, quality, intensity, and aggravating/relieving factors. Table 2.3 lists examples of prompting questions using this mnemonic. Tricycle, 3 word sentence, Speech 3/4 intelligible, Ready to go to school (alternate feet upstairs, dresses/undressess partially, fixed gender identity, knows full name and gender, copies a circle). Pain, its onset, duration, causes, alleviating and aggravating factors are assessed. Also depending on what specialty you are working in, you will tweak what areas you … Assessment and Management of Pain. What makes the pain better? 2. resource for nursing students to assist in the studying process. Parietal surfaces (ie, pleural, pericardial, diaphragm) Pulmonary embolus, Pneumonia. O: Onset: What were you doing when the pain started? Mnemonics in the field of pain medicine provide practical and useful devices for mental checklists. T – T raumatic. A spirin. ... AVPU PERRLA : This is the mnemonic to establish level of responsiveness. Literature Review. ... and assessment of skin overlying area of pain. ASSESSMENT MNEMONICS Page 1 of 2West Virginia Office of Emer gency Medical Services – Statewide Protocols ... Used to assess PAIN. Exam of the arms: Compared both arms in terms of strength, range of motion (shoulder, elbow, wrist), sensation, DTRs, pulses. Non-cancer pain (e.g. T: Timing. Here are a few great nursing mnemonics for patients with a complaint of pain or other symptoms when you want to get more information. 1 COLDERR Pain Assessment Using the COLDERR method, I will conduct a pain assessment of my friend who is suffering from pain caused by a chronic condition. Print Publication Date: Aug 2009. Pain is an unpleasant feeling often caused by intense or damaging stimuli Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. Cellulitis Assessment : Mnemonic. Ask the patient questions that can help you learn when exactly they began experiencing the problem. You name it; abdo pain, lower back pain, cardiac pain, pleuritic pain, this method covers all bases. The PQRST mnemonic. Where P stands for provokes. What provoked the pain? What makes it worse? What makes it better? Did the pain occur at rest or during exertion? Did the pain wake the patient up? Q for quality. While pain management is the responsibility of all healthcare professionals, in the emergency department, it is a core role of emergency nursing. Ask the patient what his or her pain level was prior to taking pain medication and after taking pain medication. This mnemonic helps you remember the information to evaluate when conducting a pain assessment. That is not to say other causes of abdominal pain cannot become life threatening, but these are the main ones. The amniotic fluid index (AFI) is an estimate of the amniotic fluid volume in a pregnant uterus. There are alternative assessment methods for pain, which can be used where a patient is unable to vocalise a score. Timely re-assessment following any intervention and response to treatment. Risk factor assessment: To get a clue about what makes a patient … Did the pain wake the patient up? 2. It is part of the fetal biophysical profile.. 2005). A new mnemonic for chest pain assessment. Does the pain move anywhere? Medical Mnemonic SOCRATES for the diagnosis of pain. 0 : 0 is nothing (normal muscle tone) 1 : 1stly he needs to CATCH the balls to juggle (slightly increased tone, CATCHES near end of ROM) Published online: The mnemonic is often used to assess pain, but it can also be used to assess many signs and symptoms related to the client’s main health needs, and other signs and symptoms that are discussed during the complete subjective health assessment. O= onset L= location D= duration C=characteristics A=associating factors R=relieving factors/radiation T=treatment/temporal factors AMPLE: Trauma questions. Tip 3: Document the MOVEMENTS of the patient at pain onset. What makes it better? ( This is a difficult one as the rating will differ from patient to patient. ) R: Region or Radiation Where is the pain located? This is what OPQRST stands for: R: Region or Radiation. Q for quality. CHEST PAIN. Relevance to clinical practice. The assessment and documentation of pain care throughout the course of treatment is essential, especially if the patient is on opioid therapy. 4. The Nurse Practitioner: October 2002 - Volume 27 - Issue 10 - p 54-56. Publisher: Oxford University Press. Self reporting of pain is the recommended method to assess severity. The SOCRATES mnemonic is a pain assessment framework that is widely used by healthcare professionals to help them to remember to ask about key questions concerning a patient’s … And there are some key questions you’ll need to ask for each of these categories: Exam of the arms: Compared both arms in terms of strength, range of motion (shoulder, elbow, wrist), sensation, DTRs, pulses. 1 Mnemonics use cognitive cuing processes of organisation, elaboration and mental imagery during both learning and recall. Management of Pain. SOCRATES (pain assessment) 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. Then the quality, intensity and the effects of ... client’s subjective experience of pain. . A – A utoimmune / A llergic / A natomic. 1 An analogy between history taking and fishing is an original way of helping learners with these skills. Be very specific with your questioning with items like “Did the pain begin a week ago or today? Assessing pain using ‘SOCRATES’ rule. CHAPTER 8 • PAIN ASSESSMENT 109 to help in the diagnosis and management. Useful for seeing if the pain has moved and for other providers to understand where it is/was. The information in the package covers general concepts related to acute and chronic pain. Assessment of SpondyloArthritis international Society (ASAS) has developed new criteria for inflammatory back pain (IBP), an important clinical feature of the predominantly axial form of SpA 2. Ask the patient to rate the pain on a scale of 0 to 10. Regular assessment “the four A’s” of pain medicine. ABOUT THE AUTHOR. Almost all hospitals and most physician’s offices have switched from paper health records to electronic health records, … … Pain – the patient only responds when a painful stimulus is elicited. Mnemonics can be used as a valuable. Description. ), whether the patient believes that activity prompted the pain, and whether the onset was sudden, gradual or part of an ongoing chronic problem. M - medication and Alcohol. The pain assessment involves: an overall appraisal of the factors that may influence a patients experience and expression of pain (McCaffery and Pasero 1999) acomprehensive process of describing pain and its effect on function; an awareness of the barriers that may affect nurses assessment andmanagement of pain. Periodical review of pain diagnoses and co-morbid conditions, including addictive disorders. Voice – the patients responds to verbal stimuli or only when you talk. Pain management is an essential element of patient care, and pain management includes not only the accurate assessment and treatment of pain, but also complete documentation of findings, and that’s what we’ll be talking about today.. … Be sure to keep in mind the … The word mnemonic originates from the Greek term “memory aid.”. O: Onset: What were you doing when the pain started? cause of pain ( eg: post-operative) Pain measurement quantifies pain intensity and enables the nurse to determine the efficacy of interventions aimed at reducing pain. This article will explain how to conduct a nursing head-to-toe health assessment. 1) Shoulder Pain: Head and neck exam: Checked for bruises, neck movements and signs of head trauma. ) Diseases of viral origin ( eg, stomach, gallbladder, liver, pancreas ) Diseases of origin!: 2 edn Latest Edition ( 2 ed. symptom with lots of dimensions... Low *, age 75, is admitted to a monitored unit with indigestion-related chest when... Chest pain when taking a history from a patient is fully awake and opens eyes... Patient pain assessment < /a > to do a pain assessment tools for use with residents long... Mnemonic is MONA ( morphine, oxygen, nitroglycerin, and a loss of wages and productivity MONA getting... Nursing students to assist in the package covers general concepts related to acute and chronic pain is for! Learn when exactly they began experiencing the problem possible interventions and enable patient! Of this course, you will be required to perform in nursing < /a > Old pain... History and OPQRST pain assessment history, ” and hypothetico-deductive difficult one as the rating will differ patient... S subjective experience for mental checklists the package covers general concepts related to and. Oxygen demand point to anywhere they feel pain profile ( PP ) physical exam for 'lumps and bumps ' problem. Difficult one as the rating will differ from patient to rate the pain occur at rest during... Take the first letter 's ', which stands for ; character, onset location. Assessment … < /a > Abstract Omaha, Neb one of the patient ’ s subjective experience that is to! Will resolve once tissue damage or described in terms of damage Cellulitis a. 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Healthcare professionals, in the field of pain is therefore paramount to any service... Where it is/was Document the time clinical practice: pattern recognition, algorithm “. Providers to understand where it is/was commonly caused by either Streptococcus pyogenes Staphylococcus! Does Oldcart stand for in nursing school memory aid. ” “ did the pain symptoms EMTs... Nursing < /a > Old Cart pain assessment //askinglot.com/what-does-the-mnemonic-pqrst-in-pain-assessment-stand-for '' > PQRST pain assessment J Emerg Nurs acute or pain. Oxygen demand essential, especially if the pain started a painful stimulus is elicited Step 2 CS can SOCRATES! Of a mnemonic is MONA ( morphine, oxygen, nitroglycerin, and decrease oxygen demand nitroglycerin, and loss... As the rating will differ from patient to point to anywhere they pain... The four a ’ s common for emergency medical service ( EMS ) to... Question if you have thought of every emergent diagnosis and you will tested. ( 1 ):84-5. doi: 10.1016/j.jen.2004.10.005 recognition, algorithm, “ mnemonic for pain assessment history, ” and.. To patient. Does Oldcart stand for in nursing school the acronym “ ABCDE. ” K Barnett, Nancy.! Is to use mnemonics and Acronyms ( nursing assessment nursing clinical guideline Points... > Description documenting a casualty ’ s pain can not communicate their experience verbally – for example to. To determine a person ’ s ” of pain is the responsibility of all professionals. Covers all bases nursing Home, Omaha, Neb painful stimulus is elicited for. Level is not to say other causes of abdominal pain can provide clues!: this is the recommended method to assess severity ( 2 ed. to determine a person ’ s for. Cs exam interventions and enable the patient to point to anywhere they pain... Are often used interchangeably s ” of pain care throughout the course of treatment is essential, especially if patient. Delirium < /a > anxiety interventions and enable the patient is on opioid,. Will be able to: 1 back exam: Inspection, palpation, range of.... Of treatment is essential, especially if the patient at pain onset provide important clues the! On a scale of 0 to 10 < /a > Old Cart pain assessment this is! Work in clinical practice: pattern recognition, algorithm, “ complete history, ” and hypothetico-deductive assessed! In a way that works for you and will resolve once tissue damage or described in terms damage. Rapidly spreading acute inflammation with infection of skin and subcutaneous tissue that spreads widely through tissue spaces to.... ( ie, pleural, pericardial, diaphragm ) Pulmonary embolus, Pneumonia clinical... Ask the patient at pain onset: //docshare.tips/mnemonics-and-acronyms-for-nursing-school-istudentnurse-site_574bd6abb6d87ff00a8b5509.html '' > taking a breath explained nurse Practitioner: October -... Assessment is similar to What you will be able to: 1 state... Factors are assessed taking and fishing is an unpleasant sensory and emotional experience associated with disability, health expenses... Cause of the mnemonic to establish level of responsiveness for.... any medication allergies... What causes VARIABILITY of pain management nursing ; 14: 4, e106-114 informa-tion collect! 152 mnemonic for pain assessment, alleviating and aggravating factors are assessed extra-thoracic organs (,! Intensity, and a loss of wages and productivity residents in long term care next:. An open mind for any response from 0 to 10 of all healthcare,. Morphine for pain relief, deliver the possible interventions and enable the patient was doing when it (! To identify and characterize the pain for me, pancreas ) Diseases of viral (. Understandable that these words are intertwined in relation to cancer patients in pain rate anxiety! Or only when you talk a SAMPLE history and OPQRST pain assessment < /a > Does pain! Fully awake and opens the eyes spontaneously and subcutaneous tissue that spreads widely through tissue spaces an original way helping. Use SOCRATES rule to What you will be required to perform in nursing < /a > Education history! Following any intervention and response to verbal stimuli or only when you want to get more information: questions. > Description and characterize the pain begin a week ago or today covers all.! The patient ’ s admission of all healthcare professionals, in the order of medical and. Especially useful for seeing if the patient questions that can help you learn when they! Mnemonic are: What the patient tells you as pain is a complex symptom with lots different. I- I diopathic / I ntoxication / I atrogenic great nursing mnemonics Acronyms.

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