* For privacy purposes, I used the medications written in the document below as an EXAMPLE. My personal medication log looks very different. You can customize yours as well.
You can copy and paste the below text & grid into a Word Processing program on your computer.
Pain Level
& Pain Medication Log
Patient: Beth Anne Cochran (Bday:
____________ )
Date
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Time
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Pain Scale Rating
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Medicines Taken
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Notes
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10/16
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10
a.m.
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5
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Motrin
400 mg - 2 (tablet) Tramadol 50 mg - 2
Topomax
50 mg - 1 Cymbalta - 0
|
In
pain, but mostly preventative (grocery shopping)
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