Make copies of these records, and use them to keep track of pain and pain relief. Bring them to your visits to the doctor or nurse. Ask them to write new medications and therapies on the record. The List of Medicines and Side Effects form simply lists all of the medicines in the pain control plan. You can also include other medicines that you are taking.
Some people like to make another list each day showing the exact times to take the medicines.
Cross out the time on the list after taking the medicine. This list can help you keep track when many medicines are prescribed. The Pain and Pain Relief Record is a way to keep track of pain and pain relief and to report side effects from medicines. There is also room to write about any other methods you tried to relieve the pain. This form helps to show the doctor or nurse if the plan is relieving pain and tells them about unmanaged side effects.