In this study, analgesia and sleep patterns were considered important elements of measurement. Clinicians were asked to complete a numerical pain score that was disease-specific and then related to dressing changes both on entry to, and during, the evaluation. Patients were encouraged to take an active role in this evaluation and were provided with a diary to keep a daily record of their wound pain score using a numerical and Wong and Baker Face scale. This included description of pain such as sharp/stabbing, burning, etc. Patients were asked to record whether they felt the pain was related to disease or dressing change. Patients were also asked to document any analgesia taken, and this was related to the World Health Organization (WHO) analgesic ladder (WHO, 1986).