Patient Pain and Medication Tracking Chart

Helps patients keep track of their function, pain, sleep, and alcohol/drug use. Allows providers to then use the chart to properly adjust the patient's medications to obtain optimal benefit and to minimize risk to health and safety.

Source

Utah Department of Health

Link

https://dhhs.utah.gov/

Year

2008

Format

Patient Form

Public domain

Topic

Assessing & Managing Pain

Audience

Patients

Medical Providers

Use

Prevention of Substance Use Disorder

Special Collection

MAT Tools and Resources