HOW TO KEEP A PAIN DIARY (free download)…

Sometimes the best way for a member of your medical team to see the full picture of your pain is to have it all written down.Chronic pain conditions are often hard to diagnose. Your symptoms may come and go, and you might be struggling to explain what you’re feeling. It can all be very frustrating. This is where the diary comes into the frame and why I put this simple pain diary sheet together, I found it so much easier to fill in on a daily basis. Showing your doctor a comprehensive diary of your pain levels and any lifestyle changes that might be affecting your pain can help your doctor spot triggers for a flare-up or understand what’s working (and what needs tweaking). Feel free to copy and paste mine below (two day page diary).

DATE ………………………………….

WHAT JOBS HAVE YOU DONE TODAY I.E. EMPTYING DISHWASHER, CLEANING ETC

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..

PAIN – ON A SCALE OF 1-10 (PLEASE CIRCLE) TEN BEING THE WORST PAIN

1              2              3              4              5              6              7              8              9              10

IF YOUR PAIN IS BAD DO YOU KNOW WHAT TRIGGERED IT AND HOW LONG DID IT LAST

………………………………………………………………………………………………………………………………………………………………………………………………..

WHERE IS THE PAIN

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

HAVE YOU SLEPT TODAY, HOW MANY HOURS (PLEASE CIRCLE)

1              2              3              4

                                                                                              

WHAT MEDICATION HAVE YOU TAKEN TODAY

………………………………………………………………………………………………………………………………………………………………………………………………..

DID THE MEDICATION HELP TO TAKE THE PAIN AWAY

(YES)/ (NO)

 

DATE ………………………………….

WHAT JOBS HAVE YOU DONE TODAY I.E. EMPTYING DISHWASHER, CLEANING ETC

……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..

PAIN – ON A SCALE OF 1-10 (PLEASE CIRCLE) TEN BEING THE WORST PAIN

1              2              3              4              5              6              7              8              9              10

IF YOUR PAIN IS BAD DO YOU KNOW WHAT TRIGGERED IT AND HOW LONG DID IT LAST

…………………………………………………………………………………………………………………………………………………………………………………………………

WHERE IS THE PAIN

………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………

HAVE YOU SLEPT TODAY, HOW MANY HOURS (PLEASE CIRCLE)

1              2              3              4

WHAT MEDICATION HAVE YOU TAKEN TODAY

………………………………………………………………………………………………………………………………………………………………………………………………….

DID THE MEDICATION HELP TO TAKE THE PAIN AWAY

(YES) / (NO)

 

If you prefer to write it down in a book then Amazon do have a nice Pain Diary for only £4.99

 

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5 thoughts on “HOW TO KEEP A PAIN DIARY (free download)…

  1. Very useful, I copied and pasted it. I will be using it until I have surgery on the 22nd. I think it will be very helpful. Thank you for sharing!

    Like

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