Identification of Painful Area: Change
NPRS 'average pain' score
Date of Assessment
date
NPRS 'average' pain score
integer
NPRS 'pain now' score: Post patch application and post patch removal
Date of Assessment
date
NPRS 'pain now' score
integer
Tolerability score: Post patch removal
Date of Assessment
date
120 mins post patch removal
integer
Additional Information
If 'Yes', please provide details on 'Adverse Event' form.
integer
Concomitant medication
integer
If 'Yes', please provide details on 'Non-medication Therapy' form.
integer