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American Cancer Society Daily Pain Diary 2008 free printable template

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Pain Diary for Date & time Pain Where pain is and how score it feels (ache, sharp, (0 to 10) throbbing, shooting, tingling, etc.) 0 No pain 1 2 What I was doing when it began 3 4 Name and amounts
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How to fill out American Cancer Society Daily Pain Diary

01
Obtain a copy of the American Cancer Society Daily Pain Diary.
02
Write your name and date on the diary.
03
At different times of the day, note the level of pain you are experiencing on a scale from 0 to 10.
04
Record the time you took any pain medication.
05
Note any side effects you experience from medications.
06
Record any activities you participated in and how they influenced your pain level.
07
Include any additional comments or observations about your pain that may be relevant.

Who needs American Cancer Society Daily Pain Diary?

01
Patients with cancer who experience chronic pain.
02
Healthcare providers seeking to understand and manage a patient's pain better.
03
Caregivers assisting cancer patients in tracking pain levels and medication effectiveness.
04
Researchers studying pain patterns in cancer patients.
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The American Cancer Society Daily Pain Diary is a tool used by patients to track and record their pain levels and experiences on a daily basis, helping healthcare providers manage their pain more effectively.
Patients experiencing pain related to cancer or its treatment are encouraged to fill out the American Cancer Society Daily Pain Diary to facilitate better pain management.
To fill out the diary, patients should record their pain levels, describe the type of pain, note any medications taken, and track any factors that may affect their pain throughout the day.
The purpose of the diary is to provide a comprehensive view of a patient's pain patterns, which can assist healthcare providers in tailoring treatment plans and improving overall pain management.
Patients must report their pain levels, the nature of the pain, medications used, the time of day the pain occurs, activities that may influence pain, and any other relevant symptoms or side effects.
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