Communication Tools

Good communication with your health care provider is vital to getting the help you need to live well in spite of your pain.  The ACPA tools in this section can help you talk more productively with your health care provider or pharmacist.

You also may find them useful in identifying patterns in your daily life that have an impact on your pain.  When you understand your personal pain triggers, you can deal with them more proactively.

Communication Tools

Opioid Induced Constipation Conversation Guide

Having to live with chronic pain is difficult enough without the added burden of opioid induced constipation. This ACPA tool will help you to have a meaningful conversation with your health care provider.

iconOpioid Constipation Conversation Guide
DPN Pain Map

DPN person lets you create a detailed picture of your pain, where it is, how it feels, and how much it hurts. This graphic representation provides a lot of important information in an easy to understand and accurate way.

iconOnline Tool
Ability Chart

This tool will help you to identify the areas where you struggle and how much trouble you have with each of them.

iconAbility Chart - Arthritis version (PDF)
Quality of Life Scale

The Quality of Life scale is provided in two formats, graphical and text. We invite you to explore both formats to see which one might better help you to communicate with your health care provider as well as family and friends.

iconGraphical Format PDF
iconText Format PDF
CARE Card

This graphical tool will help you to understand how your medication should be taken, what things you should avoid while taking it as well as possible side effects.

iconPrintable Tool (PDF)
Prepare For Your First Visit PDF

Fill out this helpful summary before your next visit.

iconPrintable Tool (PDF)
Daily Activity Checklist PDF

This checklist can help you to see where you are having difficulties with everyday activities.

iconDaily Activity Checklist
Where Does It Hurt? / Nerve Man

With this online tool you can learn about the different parts of the body where nerve pain can manifest.

iconOnline Tool
Fibro Log

The Fibro Log can help you track the everyday things that have an impact on your pain.

iconOnline Tool
iconPrintable Tool (PDF)
ACPA MedCard PDF

A medication and allergy card that easily fits in your wallet or purse.

iconPrintable Tool (PDF)
Pain Log

The Pain Log can help you track the everyday things that have an impact on your pain.
Pain  Log - Spanish version PDF

iconOnline Tool
Fibro Pain Map

This interactive tool can help you with pain management goals by helping you create a picture of your pain that you can share with your health care provider when you visit.

iconOnline Tool
Follow-Up From Your Visit

The ACPA Follow-Up tool provides you with this simple guide to ensure that you complete all the treatments/advice/recommendations.

iconPrintable Tool (PDF)
Opioid Induced Constipation Conversation Guide

Having to live with chronic pain is difficult enough without the added burden of opioid induced constipation. This ACPA tool will help you to have a meaningful conversation with your health care provider.

iconOpioid Constipation Conversation Guide
Quality of Life Scale

The Quality of Life scale is provided in two formats, graphical and text. We invite you to explore both formats to see which one might better help you to communicate with your health care provider as well as family and friends.

iconGraphical Format PDF
iconText Format PDF
Daily Activity Checklist PDF

This checklist can help you to see where you are having difficulties with everyday activities.

iconDaily Activity Checklist
Where Does It Hurt? / Nerve Man

With this online tool you can learn about the different parts of the body where nerve pain can manifest.

iconOnline Tool
Pain Log

The Pain Log can help you track the everyday things that have an impact on your pain.
Pain  Log - Spanish version PDF

iconOnline Tool
ACPA MedCard PDF

A medication and allergy card that easily fits in your wallet or purse.

iconPrintable Tool (PDF)
CARE Card

This graphical tool will help you to understand how your medication should be taken, what things you should avoid while taking it as well as possible side effects.

iconPrintable Tool (PDF)
Prepare For Your First Visit PDF

Fill out this helpful summary before your next visit.

iconPrintable Tool (PDF)
Follow-Up From Your Visit

The ACPA Follow-Up tool provides you with this simple guide to ensure that you complete all the treatments/advice/recommendations.

iconPrintable Tool (PDF)

Important:

This information should not be used as a substitute for necessary consultations with a qualified health care professional to meet your individual needs. Always consult a medically trained professional with questions and concerns you have regarding your medical condition.

Medtronic Logo
Purdue Logo

Development of this new ACPA web site was made possible through an unrestricted educational grant from Medtronic Foundation and Purdue Pharma.

Medtronic Foundation and Purdue have no influence on the editorial content of the site. Ongoing funding also comes from memberships/donations from a range of individual contributors.

Last Updated: 8/28/2014
This website is certified by Health On the Net Foundation. Click to verify.

We comply with the HONcode standard for trustworthy health information: Verify here