Chronic Pain Questionnaire

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Affiliations & Recognitions


National Eating Disorders Association
National Eating Disorders Association

Binge Eating Disorders Association
Binge Eating Disorders Association

Academy for Eating Disorders Association
Academy for Eating Disorders Association

Academy for Eating Disorders Association
International Association of Eating Disorder Professionals

QUESTIONNAIRE FOR THE CHRONIC PAIN PATIENT

  • Does the patient take higher doses of medication than other patients?
  • Does the patient obtain about 30 minutes of relief from medication, then experience a return of pain?
  • Is the rebound pain sensation more intense than the previous pain?
  • Does the patient over dramatize sensation of pain to manipulate the caregivers?
  • Does the patient ask for help, debate, or argue with the type of help?
  • Does the patient defeat attempts to help and complain about the caregiver?
  • Does the patient sound like a pharmacist and wants specific medication?
  • Does the patient attempt to intimidate staff with threats?
  • Does the patient create public scenes to put the caregiver on the spot?
  • Does the family speak for the patient and use the phrase “we are having a bad day…”?
  • Does the patient deny how much medication is being consumed?
  • Does the patient make up excuses for missing medication to obtain another prescription(“lost my prescription”, “fell in toilet”)?
  • Does the patient have multiple ER visits for pain injections?
  • Does the patient have multiple procedures with many being inconclusive?
  • Does the patient have multiple re-hospitalizations, which allow patient to access high doses of pain medication?

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