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Pain scale


Taught and instructed patient/caregiver to keep track of your pain medicine or treatment and how well it is working. Share this with your doctor or nurse to explain your pain to him or her. Here is how to use your pain scale: 1. What type of pain do you have? Write that in the first column. 2. Think about the pain you have. On a scale of 0 to 10, how bad is it? Write the number in the second column. 3. Following your treatment plan, did you take your pain medicine or did you do some other treatment? Write in what pain medicine you took, or which alternate treatment you used to help relieve your pain, in the third column. 4. If you took pain medicine, how much did you take and when did you take it? Write down the time you took your pain medicine and how many you took (in terms of strength of pill –example: 2-20 mg pills) in the fourth column. 5. If you tried a treatment, how often did you do the treatment? Write in how often you did the alternate treatment (for example: Alternated heat and ice every 20 minutes for 1 hour) in the fifth column. 6. Thirty minutes after taking your medicine, or after using another method for treating your pain, how do you rate your pain? Use the same 0 to 10 scale as before. Write the number in the last column. By keeping a diary of your pain treatments, you will be able to remember what helped you most for the type of pain you had.


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