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Pain Tracker Log

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alomascolo

Tier 3

Lesson Plan

Pain Tracker Lesson Plan

Students will learn to create and use a structured pain-tracking spreadsheet—including date, class, time in, pain level (0–10), location, meds taken, notes, and time out—to accurately record and monitor their pain.

Tracking pain systematically empowers students to communicate needs clearly, inform staff of trends, and make data-driven decisions about their well-being.

Audience

9th Grade Students

Time

30 minutes

Approach

Hands-on guided spreadsheet creation.

Materials

Pain Tracker Spreadsheet Template, and Device with Spreadsheet Software

Prep

Review Materials

5 minutes

  • Download and open the Pain Tracker Spreadsheet Template.
  • Ensure each student has access to a device with spreadsheet software (e.g., Google Sheets or Excel).
  • Familiarize yourself with each column’s purpose and example entries.

Step 1

Introduction & Purpose

5 minutes

  • Briefly discuss why tracking pain matters for health and learning.
  • Explain each column: date, class coming from, time in, pain level (0–10), pain location, meds taken, notes, and time out.
  • Show a sample filled row to illustrate how data is recorded.

Step 2

Template Walk-Through

5 minutes

  • Share your screen or project the Pain Tracker Spreadsheet Template.
  • Highlight header row and discuss expected input for each field.
  • Model entering one sample entry together with the student.

Step 3

Guided Spreadsheet Creation

15 minutes

  • Have the student duplicate the template sheet for practice.
  • Guide them to enter three hypothetical entries, varying classes and pain levels.
  • Circulate questions: Is the date format clear? How do you choose a pain level? Where would you note medication dose?
  • Provide immediate feedback on accuracy and completeness.

Step 4

Reflection & Next Steps

5 minutes

  • Review the student’s entries and address any confusion.
  • Discuss how often they should log data during their school day.
  • Agree on a plan for sharing the completed log with staff and scheduling check-ins.
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Worksheet

Pain Tracker Spreadsheet Template

Use this table to record your pain levels throughout the school day. Copy it into your spreadsheet software (e.g., Google Sheets or Excel) or print and fill in by hand.

Date

Class Coming From

Time In

Pain Level (0–10)

Location of Pain

Meds Taken

Notes

Time Out

















































































Instructions:

  1. Enter the date, class you are coming from, and time in when you arrive at the support session.
  2. Rate your pain level on a scale from 0 (no pain) to 10 (worst pain ever).
  3. Specify the location of your pain.
  4. Note any medication you have taken and the dose/time.
  5. Add any additional notes (e.g., changes in pain, triggers).
  6. Record the time out when you leave the session.

Be sure to update this log each time you check in so we can track patterns and adjust your support plan.

lenny
lenny

Cool Down

Pain Tracker Reflection

Take a few minutes to think about today’s session and answer the questions below. Your feedback helps us improve your support.

  1. Which column or feature of the Pain Tracker Spreadsheet Template do you think will be most helpful for you, and why?






  2. What was the most challenging part of creating or using your pain‐tracking spreadsheet today?






  3. How do you plan to use this spreadsheet during your school day to better communicate your pain to staff?






  4. What is one question you still have, or one suggestion you have to make this tool or our session more effective?






Thank you for your thoughtful responses! We’ll use them to make sure your pain‐tracking plan works best for you.

lenny
lenny