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    Date / /: Impacts-Of-Cancer/pain

    Uploaded by

    Anestil
    This pain diary is intended to help patients record information about their pain to discuss with doctors and nurses. It includes spaces to note the date, location of pain, description of pain, pain level on a scale of 1-10, impact on daily activities, pain treatments, and factors that make the pain better or worse. The diary can be photocopied and used as needed to effectively communicate about pain.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Date / /: Impacts-Of-Cancer/pain

    Uploaded by

    Anestil
    36 views2 pages
    This pain diary is intended to help patients record information about their pain to discuss with doctors and nurses. It includes spaces to note the date, location of pain, description of pain, pain level on a scale of 1-10, impact on daily activities, pain treatments, and factors that make the pain better or worse. The diary can be photocopied and used as needed to effectively communicate about pain.

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    1506_10061

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    This pain diary is intended to help patients record information about their pain to discuss with doctors and nurses. It includes spaces to note the date, location of pain, description of pain, pain level on a scale of 1-10, impact on daily activities, pain treatments, and factors that make the pain better or worse. The diary can be photocopied and used as needed to effectively communicate about pain.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    36 views2 pages

    Date / /: Impacts-Of-Cancer/pain

    Uploaded by

    Anestil
    This pain diary is intended to help patients record information about their pain to discuss with doctors and nurses. It includes spaces to note the date, location of pain, description of pain, pain level on a scale of 1-10, impact on daily activities, pain treatments, and factors that make the pain better or worse. The diary can be photocopied and used as needed to effectively communicate about pain.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Keeping a record of the pain will help you discuss it with your You can print more copies

    e copies of this diary from our website at


    doctors and nurses. Photocopy this diary before you fill it in so macmillan.org.uk/cancer-information-and-support/
    that you can use it as often as you need to. If the pain is in more impacts-of-cancer/pain
    than one place, you may want to use an extra copy of this diary. Date / /
    Date Where is What is the Level of pain Does the pain What medicines What makes What makes
    and time the pain? pain like? (0=no pain stop you doing and treatments the pain the pain
    10=severe) daily activities, have you used? better? worse?
    or sleeping?
    You can use diagrams like the one below to mark where your
    pain is. If you have more than one pain, label them 1, 2, 3,
    and so on (with 1 being the pain that upsets you most).

    Pain DiArY
    Where is the pain?
    Is it in one part of your
    body or in more than
    one place?

    You can use the diagrams


    on the right to mark where
    How to use your pain diary
    your pain is. You may want to pull out this pain diary and photocopy it, so you
    can use it more than once. Remember to photocopy both sides.
    If you have more than
    one area of pain, you may 1. Start by recording when you feel the pain. There is space to
    want to label them A, B, C note the date and time. You can fill in the diary as often as you
    and so on (with A being need to. If the pain is not well-controlled, you may want to fill it
    the pain that upsets you in every 1 to 2 hours. If the pain is better controlled, you can fill
    the most). it in every 4 to 6 hours.
    front back
    front back 2. Record where the pain is in your body. You can use the
    What is the pain like? diagrams on the back. It could be in one area or in lots of areas.
    We have also
    Use any of the following included
    words this diagram
    that best describeon the pain:
    your back page of
    the pain diary (in the centre of this booklet). There is more 3. Describe what the pain feels like. You could use the words on
    information about keeping a pain diary on pages 12–13. the back to help you.
    • aching • dragging • numb • smarting
    • biting • dull • penetrating • sore
    • blunt • excruciating • piercing • spreading 4. Rate the level of pain on a scale of 0 to 10, where 0 means
    • burning MAC11670_pain_E10_p08_reprint_SH_20151125.indd
    • frightful • pins and • stabbing no pain and 10 means severe pain.
    10 25/11/2015 16:02:13
    • cold • gnawing needles • stinging
    • comes • hot • pricking • tender 5. Record whether the pain stops you from sleeping or doing
    and goes • intense • radiating • throbbing any other daily activities.
    • constant • nagging • scratchy • tingling
    • crushing • nauseating • sharp • tiring 6. Write down the medicines you have used, and any other
    • cutting • niggling • shooting • unbearable. treatments or therapies that have helped manage the pain.
    Record anything that made the pain better or worse.

    Numbered pain scale All of this information will help you and your healthcare team
    How bad is the pain? If you measured it on a scale of 0 to 10, find the best pain control methods for you.
    how would you rate it? 0 is no pain and 10 is the worst pain you
    have ever had.

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