Project Summary: 1. What are some possible sources for error in pain assessment? Why is it so important to listen to the patient’s report of pain? How does pain influence behavior and ADLs? What are some ways to control painful stimuli in the patient’s environment? What barriers exist to effective pain management? 2. Why is pain considered to be the fifth vital sign? Discuss what the four main vital signs (temperature, pulse, respiratory rate, and blood pressure) can signify about a patient’s health. What factors affect vital signs in the older adult? Why is it important to develop an accurate nursing diagnosis? Discuss the differences between a medical diagnosis, a nursing diagnosis, and a collaborative problem.