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HU: Managing pain/ Measuring Pain > MEASURING PAIN (SUBJECTIVE MEASURES) > Flashcards

MEASURING PAIN (SUBJECTIVE MEASURES) Flashcards

1
Q

What are clinical interviews?

A
  • A psychological interview that aims to…
    1) Gain an understanding of the patients pain experience.
    2) Evaluate factors (psych/behavioural) that can influence a patients experience/reporting of pain.
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2
Q

What is clinical interview? (simple)

A
  • Psychological interview.
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3
Q

Clinical interviews usually are conducted after the medical examinations, and the gathering if medical history. So, what does a clinical interview aim to do?

A
  • UNDERSTAND the patients pain experience.
  • EVALUATE a factors that influence a patients experience/ reporting of pain
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4
Q

Outline the structure of the clinical interview?

A
  • Activities
  • Coping
  • Think
  • Upset
  • People

ACT UP

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5
Q

Explain the structure of the clinical interview?

A
  • Activities: Different ways pain can affect daily activities. (eating, sleeping)
  • Coping: How does the patient cope/deal with the pain?
  • Think: How do they think about the pain? (better/worse)
  • Upset: Does the pain affect the patients mood?
  • People: How do the people around the patient respond to their pain?
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6
Q

Name 1 strength of the clinical interview.

A
  1. Collects detailed qualitative data: Collects rich qualitative data which allows a deep understanding of the patients pain experiences (which is subjective)
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7
Q

Name 1 weakness of the clinical interview.

A
  1. Subjective/Social desirability response: Relies heaviliy on self-reported data which is subjective/based on personal opinions. Patients may downplay/exaggerate symptoms (attention/fear)
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8
Q

What does the MPQ stand for?

A
  • McGill Pain Questionnaire
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9
Q

The MPQ scale ranges from…

A
  • 0 (no pain)
  • 78 (severe pain)
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9
Q

What is the MPQ?

A
  • A pain-assesment questionnaire. Used to assess the quality and intensity of pain
  • Based on 78 words. The words are assigned value based on their severity.
  • The patient chooses the best descriptors of their pain.
  • The patient is given a score from 0 (no pain) to 78 (severe pain)
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9
Q

Can you name what the MPQ covers generally?

A
  1. 4 categories of pain descriptors (PAEM)
  2. List of items that increase/decrease the pain
  3. Questions regarding the intensity of the pain.
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10
Q

How is the patient given a score from the VAS?

A
  • Usually given a score from 0-100
  • The patients mark is transffered into a numerical value
    1. Measuring distance from end point (no pain)
    2. To the patients mark
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10
Q

What is the Visual Analogue Scale (Vas)?

A
  • A scale that assesess pain on a continum. From (no pain) to an (extreme amount) of pain.
  • It is usually represented in a (100mm) straight line.
  • The patient is asked to mark where on the line best represents their pain.
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11
Q

Name 1 strength of the VAS

A
  1. Efficient: Extremely quick and easy to adminsiter
  2. Senstive: More senstive to small changes compared to using descriptive categories (mild, strong)
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12
Q

Name 1 weakness of the Visual Analogue scale

A
  1. Limited scope: Can only measure pain intensity. Without capturing other dimensions like strength/quality/emotional impact (like the MPQ)
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13
Q

What is the University of Alabama Scale (UAB)?

A
  • A scale used to assess pain from behavioural observation.
  • It tracks 10 behaviours observed by someone living with the patient.
  • The observer notes the: Severity, frequency, intensity of each behaviour (assigning 0, 0.5, 1 point)
  • The observer gives a score out of 10 (high scores= worser issues)
14
Q

What is the UAB (simple definition)

A

A scale used to assess pain from behavioural observation.

15
Q

How does the UAB work?

A
  • It tracks 10 behaviours observed by someone living with the patient.
  • The observer notes the: Severity, frequency, intensity of each listed behaviour (assigning 0, 0.5, 1 point)
  • The observer gives a score out of 10 (high scores= worser issues)
16
Q

Name 4 behaviours listed by the UAB?

A
  1. Verbal complaints
  2. Downtime
  3. Mobility
  4. Facial grimaces

Downtime= Time spent lying down between 8am-8pm

17
Q

Name 1 strength of thE UAB

A
  • Application: provides carers, parents, healthcare providers a consistent method to asses pain.
  • Especially useful for parents as their child may not be able to verbalise their pain.
18
Q

Name 2 weaknesses of the UAB

A
  1. Subjectivity: Different observers may interpret behaviours differently.
  2. Validity: Outward pain expressions may not reflect internal expreinces. For instance, Individuals experincing sig pain may supress outward pain expressions as a coping mechanism or to sheild others.

Pain expression could be affected by conditioning, reinforcement, trauma

19
Q

What is the MPQ simply?

A
  • A pain-assesment questionnaire.
  • Used to assess the quality and intensity of pain

HU: Managing pain/ Measuring Pain (9 decks)

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