Get Pain Assessment Form - American Speech-language-hearing ... - Asha

Filling out the Pain Assessment Form is a crucial step in understanding and managing pain effectively. This guide provides a clear and supportive approach to help users navigate the process of completing the form online.

Follow the steps to accurately complete the Pain Assessment Form.

1. Press the ‘Get Form’ button to access the Pain Assessment Form. This will allow you to open the document in your preferred editor.
2. Begin by assessing the severity of your pain using the scale provided. Indicate a number from 0 (no pain) to 10 (worst pain) that best describes your current pain level.
3. If you rated your pain as 1 or higher, select the duration of your pain by choosing either 'acute' or 'chronic' from the options provided.
4. Identify the location of your pain by checking all relevant areas: head, neck, shoulder (left, right, both), upper back, lower back, chest, abdomen, leg (left, right, both), knee (left, right, both), foot (left, right, both), or specify 'other' if necessary.
5. Categorize the type of pain you are experiencing by selecting one or more of the following: sharp, dull, or radiating.
6. Based on your assessment, indicate your thoughts on pain control by selecting one of the following options: whether the present pain control is inadequate and you plan to discuss options with your physician, the present pain control is adequate and you do not need further intervention, or you have long-standing pain and do not wish to discuss it further.
7. After filling out all required fields, review your entries for accuracy and completeness.
8. Once you are satisfied with the information provided, you can save the changes, download the form for your records, print it if needed, or share it with your healthcare provider.

Complete your Pain Assessment Form online today to take an important step toward effective pain management.