The mcgill pain questionnaire or mpq melzack, 1975 has a longer history. Three pain scores are derived from the sum of the intensity rank values of the chosen for sensory, affective, and total descriptors. It can be used to monitor the pain over time and to determine the effectiveness of any intervention. Ask the patient when shehe had last pain medication dose. To use the questionnaire, circle the words that describe your pain but do not circle more than one word in a group. Your post about the mcgill pain scale gave me the idea to talk about how painful this chronic pain condition can be. Pain assessment documented as positive and followup plan documented pain assessment documented as negative, no followup plan required pain assessment. The mpq assesses both the quality and intensity of subjective pain. Mcgill pain questionnaire a twopart instrument developed at mcgill university by melzack and torgerson in 1971, which is used to evaluate subjective components of pain.
Aug 10, 2016 the pain that one feels with crpsrsd is a burning, stabbing, and shooting type of pain. The mcgill pain questionnaire, also known as mcgill pain index, is a scale of rating. Jan 24, 2017 has a doctor ever asked you to rate your pain on a scale from one to ten. To present the global pain scale gps as an alternative to current pain. Questions 111 deal with the sensory dimension of pain i. Melzack at mcgill university in montreal canada and has. This this contains a total of 15 descriptors 4 affective and 11 sensory which are rated on an intensity scale. The maximum score an individual can reach on the mpq is 78.
Melzack at mcgill university in montreal canada and has been translated into several languages. Raad summary date 8220 purpose a selfreport measure of pain description the mpq is a selfreport measure of pain studied with a number of diagnoses. Pain assessment scales maine developmental disabilities council. The ieq is a 12item scale that asks respondents to indicate the frequency with which they experience different thoughts concerning the sense of unfairness in. 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. Brazilianportuguese sfmpq the sfmpq contains 15 descriptors of the pain sensation 11 sensory and 4 affective, with each descriptor ranked on a 4point rating scale 05none, 15mild, 25moderate, 35severe. Indicate on this line how bad your pain isat the left end of line means no pain at all, at right end. These words or items are rated on an intensity scale as 0 none, 1 mild, 2 moderate. The mcgill pain index emerging ideas in neural science. The mcgill pain questionnaire mpq is a selfreporting measure of pain used for patients with a number of diagnoses. Use of this scale with the visual analog can provide a more accurate response. The mcgill pain questionnaire mpq is a selfreporting measure of pain used. Wongbaker faces pain scale visual analog scale distress thermometer his manual, chapter 2. This is a sample version of the mcgill pain questionnaire.
Thanks so much, terry, for telling me about the mcgill pain scale. Ronald melzack and warren togerson the original mcgill pain questionnaire in 1971 had 3 major classes of word descriptors which were. Additionally, they were asked to record all analgesics taken, on a form provded, and to record the day on which they felt recov ery from pain occurred. A short form version of the mcgill pain questionnaire sfmpq was developed in 19871. For patients in the subacute 4 weeks to 3 months and early chronic period 3 6 months of recovery, pain catastrophizing scores showed a reduction of 39%. Pain intensity is commonly assessed using measures such as the visual analogue scale vas, numerical rating scale nrs, verbal rating scale vrs, and faces pain scale revised fpsr. Please be aware that we participate in the prescription monitoring program and can access your prescription record.
Translation and back translation was performed using beatons guideline. In the 1950s, when i was a graduate student in experimental psychology at mcgill university montreal, quebec, canada, an instrument to measure pain the dolorimeterhad recently been developed and was gaining widespread acceptance. Mcgill pain questionnaire mpq, shortform mcgill pain questionnaire sfmpq, chronic pain grade scale cpgs, short form36 bodily pain scale sf36 bps, and measure of intermittent and constant osteoarthritis pain icoap. It is suggested that pain assessment needs to be cast in its social context. H3a ibi canada received 16 december 1986, accepted 27 january 1987 summary a short form of the mcgill pain questionnaire sfmpq has been developed. Many nurses ask for a verbal response to the question. The mcgill pain index scale my journey with crpsrsd. The shortform mcgill pain questionnaire consists of 15 descriptors of pain including 11 from sensory categories and 4 from affective categories.
This provides critical information for doctors to provide an accurate diagnosis, form a treatment plan and gauge the effectiveness of treatments. Mcgill pain questionnaire an overview sciencedirect topics. The mcgill pain questionnaire was developed in 1971 by ronald melzack and warren torgerson from mcgill university in. 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. 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. Melzack at mcgill university in montreal canada and. Mcgill pain index and crps or rsd american rsdhope. During this week, though, its presumed you will experience some type of pain. Mcgill pain questionnaire definition of mcgill pain. Factors and norms mean scores reported by pain syndrome, please see citation for details.
Results pain following tooth extraction mcgill pain questionnaire subscale means and standard deviations are presented in table i for each of the 3 points at which they were completed. It was originally developed as the mcgill pain questionnaire back in 1971 at the mcgill university by 2 researchers. The questionnaire consists of eleven questions based on the sensory dimensions of pain and four questions based on the affective dimensions of pain, with answer choices of 0 none, 1 mild, 2 moderate, and 3 severe. The mcgill pain questionnaire mpq melzack, 1983 provides a valid, reliable, rapid and consistent way of determining a patients subjective pain experience. Affective subscale with 4 words from the original mpq.
The brazilianportuguese versions of the mcgill pain. It also contains an intensity scale and other items to determine the properties of pain experience. Sep 05, 2012 so, back in 1971, ronald melzack and warren torgerson published a paper showing a way theyd devised to do just that. Followup plan a documented outline of care for a positive pain assessment is required. Many scales have attempted to create an allencompassing pain assessment but remain incomplete in their assessment of pain and the contributing aspects of pain. The diary should extend for this week for this assignment, but you may continue on with the pain diary and revisit it in your signature assignment. The patient is provided with a form comprising instructions and 20 word groups. Interpretation of the mcgill pain questionnaire the interpretation of the questionnaire is pretty basic. 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. Please indicate by circling a number on the line above the intensity of your pain. The words are categorized into three major classes. Please rate the intensity of each of the pain and related symptoms you felt during the past week on 0 to 10 scale, with 0 being no. This must include a planned followup appointment or a referral, a notification to other care providers as applicable or indicate the.
Visual analog scale for pain vas pain, numeric rating scale for pain nrs pain, mcgill pain questionnaire mpq, shortform mcgill pain questionnaire sfmpq, chronic pain grade scale cpgs, short form36 bodily pain scale sf36 bps, and measure of intermittent and constant osteoarthritis pain icoap. The shortform mcgill pain questionnaire sfmpq was originally published in the journal pain in 1987. Mcgill pain questionnaire parts part 1one simple question. Affirmhealth compares the key pain scales like the visual analog scale to. The mcgill pain questionnaire melzack 1987 defines the sensory, affective, and evaluative dimensions of pain based on a four point likert scale. 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 odi, roland morris disability questionnaire rmdq, verbal descriptor scale vds, verbal numeric. The mcgill pain questionnaire evidence search nice. The mcgill pain questionnaire was developed in 1971 by ronald melzack and warren torgerson from mcgill university in canada. Reflex sympathetic dystrophy causalgia has a score of 42 out of 50 on the mcgill pain index, making rsd in the most painful chronic disease that is known. An evaluation of the mcgill pain questionnaire for use in. Through the process of making art, i tried to express my private pain and to make sense of the experience. Pdf responsiveness of visual analogue and mcgill pain. The shortform mcgill pain questionnaire sfmpq is a shorter version of the original mpq, and was developed later in 1987.
Short form mcgill pain questionnaire and pain diagram. There are many versions out there, we have included two of them below. Pain assessment documentation of a clinical assessment for the presence or absence of pain using a standardized tool is required. It assesses both quality and intensity of subjective pain. In an effort to help remedy this situation, i researched several interpretations of the pain scale and have compiled what seems to be the most commonly accepted description of each number on the scale. It is considered to be one if not the most painful long term condition there is. Nov 01, 2010 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. The pain that one feels with crpsrsd is a burning, stabbing, and shooting type of pain. The measure is calculated by summing the point values for responses to 15 questions. The mcgill pain questionnaire as soon as you can this week, begin writing a pain diary.
Warren torgerson set out to create a quantitative measure for pain that is, a numerical scale to analyze the condition of patients. Pdf the mcgill pain questionnaire, japanese version. As you can see, causalgia is far and away the most painful form of chronic pain that exists. But on the pain scale, the amputation of a finger or toe is worse. This may be a valuable tool for evaluation and treatment planning for. Currently, the most frequently used instrument is the pain rating index pri of the mcgill pain questionnaire, designed to assess 3 components of pain i. The mcgill pain questionnaire mpq is a threepart pain assessment tool that measures several dimensions of the patients pain experience fig. Construct validity correlation between pris and prir, 0. The mcgill pain questionnaire and a visual analog scale were administered to 40 patients with chronic daily headache, 85 patients with migraine, and 47 patients with episodic tensiontype headache. Thereafter, short form mcgill pain questionnaire sfmpq was developed in 1987 with 15 descriptors consisting of 11 sensory and 4 affective which are rated from 0 none to 3 severe. Scale vas pain scores at 1, 2 and 3 months after treatment and the effective rate. Jan 15, 2015 we aimed to develop and validate the persian version of short form mcgill pain questionnaire2 sfmpq2 in patients with knee osteoarthritis. The faces pain scale for the selfassessment of the severity of pain experienced by children.
It was the mcgill pain questionnaire, named after mcgill university which they attended in montreal in quebec, canada. In addition to the list of pain descriptors, the questionnaire con tains line drawings of the body to show the spatial distribution of the pain, words that describe. Brief pain inventory, faces pain scale, mcgill pain questionnaire, multidimensional pain inventory, neuropathic pain scale, numeric rating scale, oswestry disability index. If you want to be sure you and your doctor are speaking the same language, give him a copy of this. The numeric scale is the most commonly used pain scale with adult patients, rating pain on a scale of 010. Pain inventory bpi, faces pain scale fps, mcgill pain questionnaire mpq.
The mcgill pain questionnaire custom university papers. 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. The utility and validity of pain intensity rating scales. We need to understand the influences on pain expression using a sociocommunication model of pain that recognizes the function of pain and the importance of both innate pain responses and the effects of social learning. The present pain intensity ppi is based on a scale of 0 to 5. The use of pain scales may be of benefit and is discussed in a separate section. It is a selfreport questionnaire that allows individuals to give their doctor a good description of the quality. Reliability and validity of the global pain scale with. It rated on the mcgill pain scale,that is higher than amputation the complex regional pain syndrome stages of pain can be seen by looking at the diagram in comparison to other pains in life. There are no current estimates of the total cost of poorly controlled pain in.
Responsiveness of visual analogue and mcgill pain scale measures. In the 1950s, when i was a graduate student in experimental psychology at mcgill university montreal, quebec, canada, an instrument to measure pain the dolo. Administration the patient is provided with a form comprising instructions and 20 word groups. Free online shortform mcgill pain questionnaire sfmpq. Mcgill pain questionnaire on a 15 intensity scale 1mild, 2discomforting, 3distressing, 4horrible, 5excruciating. Mcgill pain questionnaire mpq was developed in 1975 which was a time consuming tool.
Hi sfangel, i have tried everything i could possibly find out and some experimental stuff my husband and i. Mcgill pain index, crps and fibromyalgia elle and the auto. The mcgill pain questionnaire can be used to evaluate a person experiencing significant pain. Rsdcrps the most severe pain as registered on the mcgill. The shortform mcgill pain questionnaire tiffany care center. My research for the installation, mcgill pain questionnaire 2012 focuses specifically on the expression of pain. Mcgill pain questionnaire 6point verbal pain scale. 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. Rating scale vnrs and visual analog scale vas, patientreported outcomes measurement information system promis. Bpi, faces pain scale fps, mcgill pain questionnaire mpq, multidimensional pain inventory mpi, neuropathic pain scale nps, numeric rating scale. 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. We suggest that you produce multiple photocopies so that you may obtain written feedback to place in the patients history file. Mcgill pain questionnaire shortform rehabmeasures database. A multidimensional clinical assessment of pain using a standardized tool may.
Mcgill pain index so many have asked us for a picture of the mcgill pain index. I was also interested in more objective methods for describing pain, in particular clinical studies and methods that try to. For this questionnaire, i will provide you a list of words that describe some of the different qualities of pain and related symptoms. Directions for completing the mcgill pain questionnaire. The first part consists of an anatomic drawing of the human form on which the patient marks where his or her pain is located.
A sumiltaneous comparison of three neonatal pain scales during common nicu procedures, the clinical j. Torgerson on the language of pain1 has allowed me to try to reconstruct the origins of the mcgill pain questionnaire mpq, which is now widely used in research on pain and anesthetics. A comprehensive history, physical, and psychological examination performed during a chronic pain patients initial assessment is vitally important and will guide the proper diagnosis and treatment plan. Development, initial validation and preliminary investigation for ratio scale properties. Mcgill pain questionnaire and visual analogue scale scores should be documented preoperatively to provide a baseline for tracking. This scale is appropriate with patients aged nine and older that. On the mcgill pain index it scores a 42 out of a possible 50, above both childbirth and amputation. 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. Directions for completeing the mcgill pain questionnaire. 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.
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