Patient Pain Assessors

Patients can describe the location and intensity of their pain, rate the intensity of their pain using a pain scale, and document the impact of pain on their daily activity, mood, and overall health. Patients are encouraged to share this information with their healthcare professional.

This is a consolidated list of materials and sources that either have been used or can be used in practice with patients. The checklist helps healthcare professionals and patients keep track of the types of materials available for use in pain assessment.

This form allows the healthcare professional to take a comprehensive history of a patient’s pain therapy, including a history of medications and complementary or alternative therapies.

This assessment tool is similar to the pain rating scale, except patients rate their pain based on facial expressions, from "very happy, no hurt" to "hurts as much as you can imagine."

This is a short questionnaire on alcohol use that healthcare professionals can use to help determine a patient’s risk for addiction.

This is a list of questions for patients on drug use—excluding alcohol use—that healthcare professionals can employ to help determine a patient’s risk for addiction.

This worksheet allows the patient and healthcare professional to assess the patient’s current ability to perform activities and to set realistic goals for performing activities.

Patients and healthcare professionals can use this index to measure a patient’s ability to perform certain activities, from household chores to work to sexual activity.

This helpful piece from the American Chronic Pain Association measures physical and social functioning on a scale from 1 to 10.