Pain-self report - (circle a number): 0 1 2 3 4 5 6 7 8 9...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
Ratings Determining Impairment Associated With Pain Pain (Self-report of Severity) A. Rate how severe your pain is right now, at this moment . (circle a number): 0 1 2 3 4 5 6 7 8 9 10 No pain Most severe pain can imagine B. Rate how severe your pain is at its worst (circle a number): 0 1 2 3 4 5 6 7 8 9 10 None Excruciating C. Rate how severe your pain is on the average (circle a number): 0 1 2 3 4 5 6 7 8 9 10 None Excruciating D. Rate how much your pain is aggravated by activity
Background image of page 1
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: (circle a number): 0 1 2 3 4 5 6 7 8 9 10 Activity does not Excruciating following aggravate pain any activity Sum score of Section 1: A-D = Total pain severity/4 = __________ E. Rate how frequently you experience pain (circle a number): 0 1 2 3 4 5 6 7 8 9 10 Rarely All of the time Add total pain severity score (items A-D/4) to score for item E = _______________ Total pain severity score (range from 0-20) = ______________...
View Full Document

This note was uploaded on 10/27/2011 for the course PHYCOLOGY 101 taught by Professor Eins'tein during the Spring '11 term at Albany Medical College.

Ask a homework question - tutors are online