Case of the Month #22: Post Mastectomy Pain by Dr Sonia Pierce

Published: 01/12/2022

Questions to consider?

Some clinicians find the SOCRATES acronym helpful for asking a patient more about their pain:

Site, Onset, Character, Radiation, Associated symptoms, Timing, Exacerbating and relieving factors, Severity.

You may also want to consider:

  • Perioperative analgesia and medication history
  • Investigations and interventions so far
  • Occupation, including hobbies and interests
  • Impact of pain on life, mood, sleep, relationships
  • How she manages her pain
  • Her understanding of pain and her expectations of the pain service
  • What might you look for on examination of the patient?
  • Would you ask for any further investigations?