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Be Pain Smart plan

This is an interactive tool designed for clinicians to develop a pain management plan for clients with a brain injury and/or spinal cord injury.

Complete each step to build the ‘Be Pain Smart’ plan. There are 6 steps in the plan, which guide you through the clinical assessment and treatment formulation to help you choose the right tools from the website to include in your treatment plan.

With your client, at each step add clinical information, develop goals or choose the most appropriate strategies for your client.

Once you have finished the plan, you can download it to share with your client.

Date: 26 Mar 2023

PROMIS–29+

Enter the PROMIS scores below.

Category	PROMIS score
Pain interference	Acceptable 4-11 Moderate 12-18 Significant 19-20 Acceptable 4-11
Pain intensity	Acceptable 0-4 Moderate 5-6 Significant 7-10 Acceptable 0-4
Physical activity	Acceptable 15-20 Moderate 7-15 Significant 4-6 Acceptable 15-20
Cognition	Acceptable 5-10 Moderate 3-4 Significant 2 Acceptable 5-10
Anxiety	Acceptable 4-10 Moderate 11-15 Significant 16-20 Acceptable 4-10
Depression	Acceptable 4-10 Moderate 11-16 Significant 17-20 Acceptable 4-10
Sleep	Acceptable 4-15 Moderate 16-19 Significant 20 Acceptable 4-15
Fatigue	Acceptable 4-13 Moderate 14-18 Significant 19-20 Acceptable 4-13
My role	Acceptable 10-20 Moderate 5-9 Significant 4 Acceptable 10-20

Clinical assessment

Identify the biopsychosocial impairments/limitations or supports/resources which may impact on your pain management plan.

Physical
Cognitive
Social
Mood
Behaviour
Medications

Brick wall exercise

Complete the brick wall exercise.

Choose 3 bricks

Based on the information from to , choose 3 bricks to work on first from the Be Pain Smart website.

The 3 bricks to work on first.

Goals for each brick

Write down a SMART goal for each selected brick. See step 4 to select your bricks.

A goal for each selected brick.

Brick 1

Brick 2

Brick 3

Select the tools

Select two tools from the Be Pain Smart website to use for each brick. See step 4 to select your bricks.

Up to two tools from the Be Pain Smart website for each selected brick.

Save

To save this "Be Pain Smart" plan, click Print and then choose Save as PDF as the destination.