NOTE: The implemented card differs from that shown in the article but takes its elements from the article's content.
McGill Home Recording Card
Card
(1) columns: morning, noon, dinner, bedtime
(2) rows: Monday to Sunday
Items recorded:
(1) pain
(2) analgesic use
(3) unusual symptoms, pains or activities
(4) hours of sleep
|
Pain
|
Points
|
|
no pain
|
0
|
|
mild
|
1
|
|
discomforting
|
2
|
|
distressing
|
3
|
|
horrible
|
4
|
|
excruciating
|
5
|
Other Elements
Description of analgesic use (page 292):
(1) types
(2) number taken
(3) duration of relief
(4) amount of relief
Effects of pain (page 306):
(1) on sleep (trouble falling asleep, need for medication, awakenings by pain)
(2) sexual relations (desire and ability)
