Articles: pain-measurement.
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This descriptive study examined the relationship between nurses' memory of patient's pain and patient stereotyping. The patient vignette information recalled by 148 nurses was content analyzed for accurate items, accurate analgesic items, and how accurately the patient's pain was recalled. ⋯ Nurses either recalled the patient's pain accurately (n = 58), inaccurately (n = 18), or completely omitted (n = 70) this information. Further study is needed to explore why nurses recalled the patient's pain differently, and how this might impact pain relief efforts.
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Multicenter Study Clinical Trial
The assessment of discomfort in elderly confused patients: a preliminary study.
With the increasing numbers of older adults in our population, nurses are reexamining all aspects of nursing care in order to best meet the needs of these individuals. Normal age changes, the impact of decades of environmental challenges, successful adaptations, acute illnesses, trauma and chronic illnesses combine to create a challenge for accurate and effective assessment of elderly patients. The nurse finds her assessment skills challenged with increasing frequency by the elderly patient who is also acutely confused and experiencing discomfort. The purpose of this study was to explore the clinical utility, validity and reliability of four different approaches to nursing assessment of discomfort with this particularly vulnerable group of elders.
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Multicenter Study Comparative Study
Lack of correlation between the mean tender point score and self-reported pain in fibromyalgia.
To study the validity and nature of self-assessed symptoms among patients with fibromyalgia syndrome (FMS) and to compare our data with findings reported in the US. To determine whether tender point scores correlate with self-reported pain and other symptoms and to study the influence of disease duration. ⋯ The use of a self-report questionnaire for patients with FMS is feasible and appears to be valid. Tender point scores and self-reported pain represent very different aspects of pain in FMS.
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J Pain Symptom Manage · Jul 1995
Multicenter Study Clinical TrialA prospective multicenter assessment of the Edmonton staging system for cancer pain.
Two hundred and seventy-seven patients were admitted to this prospective multicenter study in order to assess the accuracy of a staging system for cancer pain. The staging system (SS) was completed by a trained physician during the initial consultation. This system included the assessment of pain mechanism (PM, neuropathic versus nonneuropathic), pain characteristic (PC, continuous versus incidental), previous opioid dose (OD), cognitive function (CF), psychological distress (PD), tolerance (T), past history of alcohol or drugs (A). ⋯ In logistic regression, CF and OD showed no significant correlation. We, therefore, propose a more simple SS of five categories (PM, PC, PD, T, and A) and two stages (good and poor prognosis). We conclude that the SS is highly accurate in predicting patients with good prognosis, but patients with "poor prognosis" can still achieve good pain control in more than 50% of cases.
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Multicenter Study Clinical Trial Controlled Clinical Trial
A multi-center evaluation of the McGill Pain Questionnaire: results from more than 1700 chronic pain patients.
We argue that the conflicting results reported in previous studies examining the factor structure of the McGill Pain Questionnaire Pain Rating Index (PRI) can be explained by differences in the patient samples and statistical analyses used across studies. In an effort to clarify the factor structure of the PRI, 3 different factor models were compared using confirmatory factor analysis in 2 samples of low-back pain patients (N = 1372) and in a third sample of patients suffering from other chronic pain problems (N = 423). ⋯ Reducing the information from the 10 PRI sensory subclasses to a single subscale score may seriously limit the usefulness of the PRI. Alternate methods of using PRI data are suggested.