• J Palliat Med · Aug 2017

    The Suffering Pictogram: Measuring Suffering in Palliative Care.

    • Tan Seng Beng, Yee Hway Ann, Ng Chong Guan, Loh Ee Chin, Lam Chee Loong, Ng Tze Ying, Teo Yong Teck, Hong Li Li, and Meng Christopher Boey Chiong CBC 3 Dean's Office, Faculty of Medicine, University Malaya Medical Centre , Kuala Lumpur, Malaysia ..
    • 1 Department of Medicine, Faculty of Medicine, University Malaya Medical Centre , Kuala Lumpur, Malaysia .
    • J Palliat Med. 2017 Aug 1; 20 (8): 869-874.

    BackgroundMeasuring suffering objectively presents a challenge because suffering is a unique and subjective experience. However, objective tools are of profound importance in the detection and management of suffering in clinical practice for optimal patient care.ObjectiveThe objective of the study is to assess the psychometric properties of the Suffering Pictogram, a new suffering assessment instrument on a population of palliative care patients.Design And SettingThis is a validation study conducted at University of Malaya Medical Centre, Kuala Lumpur, Malaysia. Ninety one palliative care patients were recruited. Patients were interviewed with the Suffering Pictogram and FACIT-Sp.ResultsThe median completion time for the Suffering Pictogram was five minutes. The Suffering Pictogram showed good internal consistency, with a Cronbach's alpha of 0.836. The total scores of the Suffering Pictogram correlated strongly and negatively with FACIT-Sp total score (Spearman's Rho = -0.625, p < 0.001).ConclusionThe Suffering Pictogram is a brief, reliable, and valid instrument to measure suffering in palliative care. The instrument can be used as a screening tool to detect suffering directly.

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