| RPT |
.| .| Pain Stages of Change Questionnaire - PSOCQ| | Date Given: <.Date_Given.>| Clinician: <.Staff_Ordered_By.>| Location: <.Location.>| | Veteran: <.Patient_Name_Last_First.>| SSN:
I realize now that it's time for me to come up with a better plan to cope with my pain problem.| <*Answer_6546*>| 12. I am beginning to wonder if I need to get some help to cope with my pain
problem.| <*Answer_6547*>| 13. I have recently figured out that it's up to me to deal better with my pain.| <*Answer_6548*>| 14. I have recently come to the conclusion that it's time for
me to change how I cope with my pain.| <*Answer_6549*>| 15. I'm starting to wonder whether it's up to me to manage my pain rather than relying on physicians.| <*Answer_6550*>| 16. I have
been thinking that doctors can only help so much in managing my pain and that the rest is up to me.| <*Answer_6551*>| 17. I have been wondering if there is something I could do to manage my
pain better.| <*Answer_6552*>| | Action:| 18. I am developing new ways to cope with my pain.| <*Answer_6553*>| 19. I have started to come up with strategies to help myself control my
pain.| <*Answer_6554*>| 20. I'm getting help learning some strategies for coping better with my pain.| <*Answer_6555*>| 21. I am learning to help myself control my pain without doctors.|
<*Answer_6556*>| 22. I am testing out some coping skills to manage my pain better.| <*Answer_6557*>| 23. I am learning ways to control my pain other than with medications or surgery.|
<*Answer_6558*>| | Maintenance:| 24. I have learned some good ways to keep my pain problem from interfering with my life.| <*Answer_6560*>| 25. When my pain flares up, I find myself
automatically using coping strategies that have worked in the past, such as relaxation exercise or mental distraction.| <*Answer_6561*>| 26. I am using some strategies that help me better deal
with my pain problem on a day-to-day basis.| <*Answer_6562*>| 27. I use what I have learned to help keep my pain under control.| <*Answer_6563*>| 28. I am currently using some suggestions
<.Patient_SSN.>| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)| Gender: <.Patient_Gender.>| | PSOCQ Scale Scores| | Precontemplation: <-Precontemplation->|
people have made about how to live with my pain problem.| <*Answer_6564*>| 29. I have incorporated strategies for dealing with my pain into my everyday life.| <*Answer_6565*>| 30. I have
made a lot of progress in coping with my pain.| <*Answer_6566*>| | | Information contained in this note is based on a self-report assessment and is not sufficient to use alone for diagnostic
purposes. Assessment results should be verified for accuracy and used in conjunction with other diagnostic activities and procedures.| $~
Contemplation: <-Contemplation->| Action: <-Action->| Maintenance: <-Maintenance->| | Questions and Answers| | Precontemplation:| 1. I have tried everything that
people have recommended to manage my pain and nothing helps.| <*Answer_6536*>| 2. My pain is a medical problem and I should be dealing with physicians about it.| <*Answer_6537*>| 3.
Everybody I speak with tells me that I have to learn to live with my pain, but I don't see why I should have to.| <*Answer_6538*>| 4. I still think despite what doctors tell me, there must be
some surgical procedure or medication that would get rid of my pain.| <*Answer_6539*>| 5. The best thing I can do is find a doctor who can figure out how to get rid of my pain once and for
all.| <*Answer_6540*>| 6. Why can't someone just do something to take away my pain?| <*Answer_6541*>| 7. All of this talk about how to cope better is a waste of my time.|
<*Answer_6542*>| | Contemplation:| 8. I have been thinking that the way I cope with my pain could improve.| <*Answer_6543*>| 9. I have recently realized that there is no medical cure for my
pain condition, so I want to learn some ways to cope with it.| <*Answer_6544*>| 10. Even if my pain doesn't go away, I am ready to start changing how I deal with it.| <*Answer_6545*>| 11.
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