These are the Instructions for Users Who Read Well:

My Pain Alert (TM) Scale Communication Tool can quickly train you to communicate your pain management needs effectively. This book was designed to be used by a lot of different ages (two years up) and abilities (including normal, brain injured, autistic, and sensory impaired). You DON’T need to have someone read to you, although you might like that. It’s your choice!


Your goal is to read the stories enough times to be able to explain all six levels to family, and do a good job of answering questions about the levels. You already know from taking tests at school that three times usually works.

You should also show your family some American Sign Language signs which you think might be useful if you are in a situation in which it is hard to talk. “Need” “Medicine” “Pain” and “No” are suggested. You could try doing the sign for Medicine pretending the bedding is your open flat hand – a one handed version. Make sure your family can recognize the ASL signs. Otherwise, they might think you are drawing circles with your middle finger for fun.

You should be able to describe the types of pain you’ve had in the past. Were your pains: sharp, throbbing, burning or dull? If you haven’t had those types of pain, ask family to tell about their pains. You will be better prepared, and know that you are not alone in your struggle.

The bonus skill for this challenge is to explain the correct way to take medicine you’ve had before: with water or food (what food do you prefer?); how long until it took effect; and what action helped while waiting?

For Your Information:

You can get this book as a download from any online book seller for $2.99. Then it’s always there when you need it.

You can leave the author useful comments or a review via Twitter or Facebook at: My Pain Alert.

Thank you for helping others by being part of this communication tool’s improvement.

Gail Goldstein, CCC-SLP author