SOCIAL HISTORY
SOCIAL HISTORY
PAIN QUESTIONS
PAIN QUESTIONS
PAIN QUESTIONS
100

alcohol use

Do you drink? If yes, what kind of alcohol and how much?

100

Travel History?

Have you been outside of the country recently?

100

HOL FÁJ?

WHERE DOES IT HURT?
WHERE DO YOU FEEL THE PAIN?

100

MI OKOZZA A FÁJDALMAT?

WHAT CAUSES THE PAIN?

100

MENNYI IDEIG TART A FÁJDALOM?

HOW LONG DOES THE PAIN LAST?


200

Tobacco use

do you smoke? If yes, how Many cigarettes/pack a day? Since when?

200

Free time activity?

Do you do sports/exercise/pilates?How often?

200

MILYEN JELLEGŰ A FÁJDALOM?

COULD YOU DESCRIBE ME YOUR PAIN? 

CHARACTER OF YOUR PAIN

200

MI idézi elő A FÁJDALMAT?

WHAT TRIGGERS THE PAIN?


200

MILYEN GYAKRAN FÁJ?

HOW OFTEN DOES IT HURT?


300

Package year

no. of packs of 20 cigarettes per day X no. of years smoking

300
marital status

are you married or have a partner?

300

MILYEN ERŐS A FÁJDALOM?

HOW BAD IS THE PAIN?
HOW SEVERE IS THE PAIN ON A SCALE OF 1-10?

300

MI FOKOZZA A FÁJDALMAT?

WHAT MAKES THE PAIN WORSE?


300

MIÓTA FÁJ?

HOW LONG HAVE YOU HAD THE PAIN?


400

employment history

do you work?If yes, ask about the safety of their environment they work in.

400

medication?

Do you take any medications regularly? If you do, what kind?

400

ZAVARJA A MINDENNAPJAIBAN A FÁJDALOM?

DOES IT INTERFERE WITH YOUR DAILY LIFE?

400

MI ENYHÍTI A FÁJDALMAT?

WHAT RELIEVES/EASES/ALLEVIATES THE PAIN?
WHAT MAKES THE PAIN BETTER?


400

HOGYAN KEZDŐDÖTT? HIRTELEN VAGY FOKOZATOSAN?

HOW DID IT START? SUDDENLY OR GRADUALLY?


500

Home situation

  • House or bungalow
  • Any carers
  • Activities of daily living (ability to wash, dress and cook)
  • Mobility, and immobility aids
  • Social/family support
  • Do they think they’re managing?
500

Diet?

Could you describe me your diet/food intake? or how is your appetite?

500

SUGÁRZIK VALAHOVA A FÁJDALOM?

DOES THE PAIN move/spread SOMEWHERE?

500

MI SZÜNTETI A FÁJDALMAT?

WHAT STOPS THE PAIN?

500

VOLT MÁS TÜNETE IS?

HAVE YOU HAD ANY OTHER SYMPTOMS AT ALL?


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