Pain Map

Using a drawn representation of the body, patients who are unable to speak mark areas where they feel pain. Some practitioners use colored pencils or crayons to allow patients to color code areas of more or less severe pain. (NCI Thesaurus)

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Pain Keeps Me From Doing Things I Want to Do

A question about whether an individual has or had pain that kept them from doing things they wanted to do.

Pain Interferes with Walking Ability

A question about whether a person has or had pain that interfered with their ability to walk.

Pain Interferes with Sleep

A question about whether a person has or had pain that interfered with sleep.

Pain Interferes with Relations with Other People

A question about whether a person has or had pain that interfered with their relationships with other people.

Pain Interferes with Mood

A question about whether a person has or had pain that interfered with their mood.

Pain Interferes with General Activity

A question about whether a person's pain interferes or interfered with their general activities.