Get Patient Rated Ulnar Nerve Evaluation

The Patient Rated Ulnar Nerve Evaluation is a valuable tool designed to assess the level of pain and difficulty individuals experience due to ulnar nerve issues. By providing clear and thoughtful responses, users can help healthcare providers understand their conditions better and tailor appropriate treatments.

Follow the steps to complete your evaluation accurately.

1. Press the ‘Get Form’ button to acquire the form and open it in a suitable editor.
2. Begin by entering your name in the designated field at the top of the form.
3. Next, input the current date in the space provided, ensuring it reflects the day you are completing the evaluation.
4. You will now evaluate your pain levels. There are several questions asking you to rate your pain at various times: at its worst, at rest, in the morning, after work or activity, and at night while sleeping. Use the scale from 0 (no pain) to 10 (worst possible pain) to record your responses.
5. Proceed to answer questions regarding the frequency and presence of other symptoms such as numbness, weakness, and 'pins and needles' sensations, again using the 0 to 10 scale to indicate severity.
6. The form also asks you to rate your difficulty performing specific activities like eating, lifting heavy objects, holding items, and tasks with repetitive finger use. Be honest about your experiences, rating from 0 (no difficulty) to 10 (completely unable).
7. Finally, assess your usual activities and indicate the level of difficulty with personal care, household tasks, work, and recreational activities, using the same scale.
8. Once you have filled out all sections thoroughly, review your responses for accuracy. You may then save your changes, download, print, or share the completed form as needed.

Complete your evaluation online today to assist in the management of your ulnar nerve condition.