Outcome measures Flashcards

1
Q

Numeric pain rating scale?

A

Verbal Pain response 0-10

Advantage

  • fast
  • easy to administer
  • minimal language translation
  • verbal and written

Disadvantage

  • Only shows one component of pain
  • transform subjective experience to number
  • risk of oversimplify pain
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2
Q

Verbal rating scale

A

Use of adjectives to describe pain 0-5

Advan.

  • Practitioner can describe pain descriptor
  • familiar terminology

Disadv.

  • takes time to read list of adjectives
  • difficult to compare
  • difficult for non english speaker
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3
Q

VAS

A

mark the number 0-10 on a paper

Advant.

  • sensitivity to change
  • fast
  • no training needed
  • no cost

Disadv.

  • not verbal
  • line might change if copied
  • difficulty to rate pain
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4
Q

Body chart

A

On a body patient mark area of pain

advnt.
- quick precision
- less question

disadvantage.
- hard to score or compare over time

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5
Q

Mcgill pain questionnaire

A

Distinguish nociceptive from neuropathic Measures sensory, affective, evaluative aspects of pain

Advan.

  • no cost
  • detect mild pain
  • distinguish nociceptive from neuropathic

disadvantage.
- slow 30 min
- language proficiency
- long to score

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6
Q

Brief pain inventory

A

serious conditions - pain in 9Q.
Addresses sensory, emotional and functional aspects of the pain experience

Adva.

  • fast to complete
  • free
  • diverse pain
  • acceptable reliability

disadvantage
- language

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7
Q

Pain detect

A

neuropathic pain

Advant.

  • screen neuropathic pain
  • aid in pain management
  • easy to use

disadvantage

  • language
  • false positive
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8
Q

Advantages of using the Visual Analogue Scale (VAS) for assessing pain include

  1. Highcost
  2. Takesalongtimetoadminister
  3. Reliability is greater in the literate population
  4. Test is sensitive to small changes
A
  1. Test is sensitive to small changes
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9
Q

Which outcome measure gives information about the patient’s pain intensity and how the pain interferes with daily living?

  1. McGillPainQuestionnaire 2. TampaPainQuestionnaire
  2. Brief PainInventory
  3. painDETECT Questionnaire
A
  1. Brief PainInventory
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10
Q

Which outcome measure helps to differentiate neuropathic from nociceptive pain in patients?

  1. McGillPainQuestionnaire
  2. pain DETECT Questionnaire
  3. Brief Pain Inventory
  4. Kessler Scale
A
  1. McGillPain Questionnaire
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11
Q

what are examples of yellow flags screening tools?

A
Pain Catastrophising scale •Pain Self Efficacy Scale •HADS
•DASS-21 
•K10 
•Orebro 
•Tampa Scale
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12
Q

What is a yellow flag?

A

psychosocial factors present in a patient
•Cognitive – thoughts and beliefs
•Affective – emotional •Social – work, family, friends, finances

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13
Q

Pain self efficacy scale

A

assess confidence to perform activity
cover daily living activities
predicts poor recovery
score 0-60 less positive outcomes

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14
Q

HDAS - anxiety and depression scale

A

measure anxiety and depression in hospital
14 questions
easy to score

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15
Q

DASS 21

A

measure for distress for depression anxiety and stress

21 quesions

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16
Q

K10

A

global measure of distress depression or anxiety in a 4 week period

17
Q

Obrero Musculoskeletal Pain questionnaire

A

long term disability and return to work

completed after tissue injury

18
Q

Tampa scale of Kinesiophobia

A

fear of pain with movement

high score mean fear of tissue damage affecting their lives

19
Q

Affective factors that contribute to yellow flags in a patient include

  1. Attitudes and beliefs, expectations, self-efficacy
  2. Depression, anxiety, worry
  3. Education, relationships, culture
  4. Health literacy, catastrophizing, coping
A
  1. Depression, anxiety, worry
20
Q

Pain catastrophising is NOT characterised by:

  1. Rumination
  2. Magnification
  3. Intensity
  4. Helplessness
A
  1. intensity
21
Q

Which of the following is considered to be a risk factor for physical disability following injury:

  1. Pain Catastrophising
  2. Fear Avoidance
  3. Kineshiophobia
  4. All of the above
A
  1. All of the above
22
Q

The two subscales of the Tampa Scale for Kinesiophobia are:

  1. Physical Activity and Work
  2. Rumination and Helplessness
  3. Depression and Anxiety
  4. Activity avoidance and Somatic focus
A
  1. Activity avoidance and Somatic focus

3. Depression and Anxiety

23
Q

Stress can affect a patient’s rehabilitation and recovery from an injury. Which outcome measure would be the best to assess if a patient was suffering from a higher level of stress?

  1. HADS
  2. MPQ
  3. BPI
  4. DASS21
A
  1. DASS21
24
Q

Work absence of more than how many weeks is associated with a 50% change of not successfully returning to work?

  1. 10days
  2. 21days
  3. 9weeks
  4. 2months
A
  1. 9weeks
25
Q

Which PROM is most appropriate for a patient saying “there is nothing I can do to control this pain”?

  1. Fear Avoidance Beliefs Questionnaire
  2. Pain Catastrophising Scale
  3. Tampa Scale for Kinesiophobia
  4. McGill Pain Questionnaire
A
  1. Fear Avoidance Beliefs Questionnaire
26
Q

Kinesiphobia is best described as

  1. Irrational and debilitating fear of pain due to movement
  2. Irrational and debilitating fear of pain
  3. Irrational and debilitating fear of movement
  4. Irrational and debilitating fear of physical instability
A
  1. Irrational and debilitating fear of pain due to movement
27
Q

Fear avoidance belief questionnaire

A

2 recovery pathways

  1. catastrophizing
  2. fear of pain and pain anxiety

fear avoidance beliefs about physical activity and work may affect and contribute to their pain

28
Q

FABQ

A

fear avoidance scale

  • fear of physical activity
  • fear of work