The mcgill pain questionnaire wiley online library. The questionnaire is selfreported and allows individuals to describe the quality and intensity of their pain by using 78 adjectives in 20 different sections. In the mpq, the evaluation of pain is divided into three categories. Testing an educational nursing intervention for pain. This scale is appropriate with patients aged nine and older that. The patient ranks each of the words on a categoric scale of none, mild. The mcgill pain questionnaire mpq, rheumatoid arthritis pain scale raps. The mcgill pain questionnaire purpose the mcgill pain questionnaire mpq melzack, 1983 provides a valid, reliable, rapid and consistent way of determining a patients subjective pain experience.
The second part of the mpq is a vds that allows the patient to. Use of the mcgill pain questionnaire in the assessment of cancer pain. The present pain intensity ppi is based on a scale of 0 to 5. Pdf on nov 1, 2016, priscila martins mendes and others published application of the mcgill scale for assessment of pain in cancer patients find, read and cite all the research you need on. Free online shortform mcgill pain questionnaire sfmpq. Effective alleviation of pain depends on accurate pain assessment, measurement and documentation. It is nonlinear and prone to bias which limits its use as a serial measure of pain severity. Questions 111 deal with the sensory dimension of pain i. We suggest that you produce multiple photocopies so that you may obtain written feedback to place in the patients history file. Consideration of the vas in terms of its physical structure and the patients behaviour when confronted with the scale, casts doubt on its validity.
The measure is calculated by summing the point values for responses to 15 questions. Once a person has made their selections, a numerical score with a maximum rating of 78. Pain scales painscale use pain scale to find the right. The pain that one feels with crpsrsd is a burning, stabbing, and shooting type of pain. Journal of the american association of nurse anesthetists. The first part consists of an anatomic drawing of the human form on which the patient marks where his or her pain is located. Use of this scale with the visual analog can provide a more accurate response. The mcgill pain questionnaire also had an intensity scale to determine the properties of pain experience of sufferers. Visual analog scale for pain vas pain, numeric rating scale for pain nrs pain, mcgill pain questionnaire mpq, short. Some examples of the words used are tugging, terrifying, cold, sharp, and wretched. On the mcgill pain index it scores a 42 out of a possible 50, above both childbirth and amputation.
The mcgill pain questionnaire or mpq melzack, 1975 has a longer history. Adult measures of pain the mcgill pain questionnaire mpq, rheumatoid arthritis pain scale raps, shortform mcgill pain questionnaire sfmpq, verbal descriptive scale vds, visual analog scale vas, and west havenyale multidisciplinary pain inventory whympi carol s. The mcgill pain index is a scale that shows the rating or level of pain. The mcgill pain index scale my journey with crpsrsd. The mcgill pain questionnaire mpq consists of 78 words, obtained from pain patient interviews and the clinical literature, which describe distinctly different aspects of the experience of pain melzack, 1975. Mcgill pain index and crps or rsd american rsdhope. It is considered to be one if not the most painful long term condition there is. The chart above gives you a visual of the type of pain that someone living with crpsrsd has to deal with. To assess the applicability of pain assessment instruments in three. A sumiltaneous comparison of three neonatal pain scales during common nicu procedures, the clinical j. All patients have the right to have their pain treated patient pain manifesto cps, 2001. Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis.
The mcgill pain questionnaire can be used to evaluate a person experiencing significant pain. Use of pain rating scales, especially the visual analogue scale vas, has increased dramatically in the last decade. When creating this index they included such things as sensory qualities skin color, temperature changes, pressure, sensitivity, affective qualities tension, fear and autonomic properties. It was developed at mcgill university by melzack and torgerson. The questionnaire is selfreported and allows individuals to describe the quality and intensity of their pain by using 78. It can be used to monitor the pain over time and to determine the effectiveness of any intervention.
Your post about the mcgill pain scale gave me the idea to talk about how painful this chronic pain condition can be. Because i was a pedestrian struck and injured by a car while crossing the street on a crosswalk, the lawyer defending the person who injured me scheduled an ime. Measuring pain in patients undergoing hemodialysis. The shortform mcgill pain questionnaire sfmpq is a shorter version of the original mpq, and was developed later in 1987. Please indicate by circling a number on the line above the intensity of your pain. The mcgill pain questionnaire consists primarily of 3 major classes of word descriptors sensory, affective and evaluative that are used by patients to specify subjective pain experience. Melzack at mcgill university in montreal canada and has been translated into several languages. It is a selfreport questionnaire that allows individuals to give their doctor a good description of the quality and intensity of pain that they are experiencing. The mcgill pain questionnaire consists of 78 words that describe pain. Analysis of the applicability of different pain questionnaires. Aug 10, 2016 the pain that one feels with crpsrsd is a burning, stabbing, and shooting type of pain. Temporal factor purpose of pain assessment and measurement.
Mcgill pain questionnaire in the assessment of low back pain. Substantial portions of the words had the same relative positions on a common intensity scale for people from widely divergent social and ethnic backgrounds. The mcgill pain questionnaire mpq is a threepart pain assessment tool that. Administration the patient is provided with a form comprising instructions and 20 word groups. Please transfer the total score from the pain questionnaire. The shortform mcgill pain questionnaire sfmpq was originally published in the journal pain in 1987. The mcgill pain questionnaire, also known as mcgill pain index, is a scale of rating pain developed at mcgill university by melzack and torgerson in 1971. An ideal pain assessment tool would produce a numeric score or other objective metric, be easy to administer, be readily understood by patients, and yield reproducible results with good specificity and sensitivity. Pain measurement tools for clinical practice and research. Respondents choose those that best describe their experience of pain. In addition to focusing on the patients perspective, a pain scale should also be free of bias, accurate and reliable, able to differentiate between pain and other undesired emotions. A person rates their own pain by marking the words that most closely match up to their feelings. The mcgill pain questionnaire as a multidimensional measure. Affective subscale with 4 words from the original mpq.
The mcgill pain questionnaire, or mpq, is one of the most widely used multidimensional pain scales in the world. How to introduce a pain scale pain measurement with the critically ill patient t. The focus on patient report of pain is an essential aspect of any pain scale, but there are additional features that should be included in a pain scale. The mpq is a selfreported measure of pain studied with a number of diagnoses, and it assesses both the quality and intensity of subjective pain. Chronic pain assessment questionnaire exchange cme. Many nurses ask for a verbal response to the question. The numeric scale is the most commonly used pain scale with adult patients, rating pain on a scale of 010. Melzack at mcgill university in montreal canada and has. The mcgill pain questionnaire consists primarily of 3 major classes of word descriptorssensory, affective and evaluativethat are used by patients to specify subjective pain experience. In the 1950s, when i was a graduate student in experimental psychology at mcgill university montreal, quebec, canada, an instrument to measure painthe dolorimeterhad recently been developed and was gaining widespread acceptance.
Pre and postoperative assessment of pain and pain relief. The faces pain scale for the self assessment of the severity of pain experienced by children. Mcgill pain questionnaire an overview sciencedirect topics. Memorial pain assessment card an overview sciencedirect.
Pain assessment scales the national initiative on pain control nipc has provided these diagnostic tools to assist you in assessing the severity and quality of pain experienced by your patients. Brief pain inventory bpi, faces pain scale fps, mcgill pain questionnaire mpq, multidimensional pain inventory mpi, neuropathic pain scale nps, numeric rating scale nrs, oswestry disability index. Total score please add up the following numbers, depending on the marked pain behavior pattern and the pain radiation. Examples of tools for pain assessment, include, but are not limited to. Untreated pain may result in the unchecked release of. The questionnaires are presented in the following order. It also contains an intensity scale and other items to determine the properties of pain experience. Development, initial validation and preliminary investigation for ratio scale properties. Practical pain management pain scales can be divided into include unidimensional and multidimensional. It was originally developed as the mcgill pain questionnaire back in 1971 at the mcgill university by 2 researchers.
These words or items are rated on an intensity scale as 0 none, 1 mild, 2 moderate. Melzack used the data from the mcgill pain questionnaire to create a graph called the mcgill pain index. Chronic pain assessment questionnaire patient information q first visitand evaluation, both by patients and their providers. Thanks so much, terry, for telling me about the mcgill pain scale. The mcgill pain index was first developed in 1971 as a way of gauging the quality of pain. The second part of the mpq is a vds that allows the patient to record the intensity level of his or her current pain.
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