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Pain Subscale

Page history last edited by PBworks 17 years ago

Functional Assessment Instrument Attributes

 

    1. Description:
    2. Author/Sponsor:
    3. Prevalence:
    4. Population:
    5. Subject:
    6. Provider Setting:
    7. Derived:
    8. Validity and Reliability Testing:
    9. Specific vs Multiple Domain:
    10. Verbal or Observation based:
    11. Are calculated scores included:
    12. Extended use:
    13. Versions:
    14. Public Domain:
    15. References:
    16. Comments:

 

Description:

 

An algorithm that assembles items from interRAI assessment instruments (including the US Nursing Home Minimum Data Set) to represent severity of pain.

 

Author/Sponsor:

 

Fries BE, Simon SE, Morris JN, Flodstrom C, Bookstein F

 

Prevalence:

 

Can be used with all interRAI instruments (nursing home, home care, palliative care, assisted living, etc.)

 

Population:

 

Currently used in home care, nursing homes, palliative care, assisted living and other community settings.

Originally derived on a sample of 95 nursing home residents in 25 Medicare-certified facilities in Massachusetts. Prevalence reported on the full population of 34,675 residents in all Michigan nursing facilities from October 1998 – October 1999. In the prevalence sample of post-acute nursing home patients, 47% evidenced pain, while 4% experienced excruciating pain.

 

Subject:

 

Patients or residents in multiple settings.

 

Provider Setting:

 

Nursing home, home care, assisted living, community settings.

 

Derived:

 

4-category pain scale

 

Validity and Reliability Testing:

 

Validated against the Visual Analog Scale. The MDS pain frequency and MDS pain intensity items – used to form the MDS Pain Scale - each had measured inter-rater reliability of 0.73 (weighted kappa – Fleiss-Cohen weights).

 

Specific vs Multiple Domain:

 

Only pain.

 

Verbal or Observation based:

 

Based on measures of the Visual Analog Scale, which is determined by direct questioning of the individual.

 

Are calculated scores included:

 

An algorithm may calculate one or more scores based on elements of the assessment.

 

Extended use:

 

Can stand alone for more frequent monitoring of pain than mandated for full MDS or interRAI instruments.

 

Versions:

 

Version 1.

 

Public Domain:

 

Algorithm is in the public domain. interRAI instruments are copyrighted but license for governments and caregivers to use them is provided via contracts without royalty.

 

References:

 

Fries BE, Simon SE, Morris JN, Flodstrom C, Bookstein FL. “Pain in US Nursing Homes: Validating a Pain Scale for the Minimum Data Set” Gerontologist 41(2):173-179, 2001

 

Comments:

 

Discussion

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