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Pain pp 149-162 | Cite as

Measurement of Pain

  • Vikram B. Patel
  • Chandani P. DeZure
Chapter

Abstract

Treatment of pain first requires an accurate measurement of pain. Though complex and multifactorial, it is based on two overarching concepts: qualifying and quantifying pain. In practicality, this information is obtained from the subjective report of pain by a patient and/or the use additional validated tools for measuring pain. Radiological or laboratory studies are limited in that they may only evaluate underlying pathology. Thus, it is vital for a physician to adequately measure a patient’s pain to provide effective and timely treatments and to avoid unnecessary medications and procedures. The ultimate goal would be the improvement in quality of life of a patient. Measurement of pain in pediatric as well as adult population is discussed.

Keywords

Pain measurement Pain scale Visual analog scale Faces rated scale Neonatal pain score Premature pain profile Numeric rating scale 

References

  1. 1.
    Tomlinson D, von Baeyer CL, Stinson JN. A systematic review of faces scales for the self-report of pain intensity in children. Pediatrics. 2010;126(5):e1168–98.CrossRefGoogle Scholar
  2. 2.
    Beyer JE, McGrath PJ, Berde CB. Discordance between self-report and behavioral pain measures in children aged 3–7 years after surgery. J Pain Symptom Manage. 1990;5(6):350–6.Google Scholar
  3. 3.
    Stevens B, Johnston C, Petryshen P, Taddio A. Premature infant pain profile: development and initial validation. Clin J Pain. 1996;12(1):13–22.CrossRefGoogle Scholar
  4. 4.
    Lawrence J, Alcock D, McGrath P, et al. The development of a tool to assess neonatal pain. Neonatal Netw. 1993;12(6):59–66.PubMedGoogle Scholar
  5. 5.
    Grunau RE, Oberlander T, Holsti L, Whitfield MF. Bedside application of the Neonatal Facial Coding System in pain assessment of premature neonates. Pain. 1998;76(3):277–86.CrossRefGoogle Scholar
  6. 6.
    Hummel P, Puchalski M, Creech SD, Weiss MG. Clinical reliability and validity of the N-PASS: neonatal pain, agitation and sedation scale with prolonged pain. J Perinatol. 2008;28(1):55–60.CrossRefGoogle Scholar
  7. 7.
    Krechel SW, Bildner J. CRIES: a new neonatal postoperative pain measurement score. Initial testing of validity and reliability. Paediatr Anaesth. 1995;5(1):53–61.CrossRefGoogle Scholar
  8. 8.
    van Dijk M, Roofthooft DW, Anand KJ, et al. Taking up the challenge of measuring prolonged pain in (premature) neonates: the COMFORTneo scale seems promising. Clin J Pain. 2009;25(7):607–16.CrossRefGoogle Scholar
  9. 9.
    Carbajal R, Veerapen S, Couderc S, et al. Analgesic effect of breast feeding in term neonates: randomised controlled trial. BMJ. 2003;326:13.CrossRefGoogle Scholar
  10. 10.
    Holsti L, Grunau RE. Initial validation of the Behavioral Indicators of Infant Pain (BIIP). Pain. 2007;132(3):264–72.CrossRefGoogle Scholar
  11. 11.
    Debillon T, Zupan V, Ravault N. Development and initial validation of the EDIN scale, a new tool for assessing prolonged pain in preterm infants. Arch Dis Child Fetal Neonatal Ed. 2001;85(1):F36–41.CrossRefGoogle Scholar
  12. 12.
    Wong-Baker FACES Foundation. Wong-Baker FACES® Pain rating scale. 2017. Retrieved 3 Oct 2017. http://www.WongBakerFACES.org wpf.
  13. 13.
    Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs. 1988;14(1):9–17.PubMedGoogle Scholar
  14. 14.
    WHO guidelines on the pharmacological treatment of persisting pain in children with medical illnesses. http://apps.who.int/medicinedocs/documents/s19116en/s19116en.pdf:26-35.
  15. 15.
    Hicks CL, von Baeyer CL, Spafford P, et al. Faces pain scale-revised: toward a common metric in pediatric pain measurement. Pain. 2001;93(2):173–83.CrossRefGoogle Scholar
  16. 16.
    Beyer JE, Denyes MJ, Villarruel AM. The creation, validation, and continuing development of the Oucher: a measure of pain intensity in children. J Pediatr Nurs. 1992;7(5):335–46.PubMedGoogle Scholar
  17. 17.
    Hamill JK, Lyndon M, Liley A, et al. Where it hurts: a systematic review of pain-location tools for children. Pain. 2014;155(5):851–8.CrossRefGoogle Scholar
  18. 18.
    Malviya S, Voepel-Lewis T, Burke C, et al. The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment. Paediatr Anaesth. 2006;16(3):258–65.CrossRefGoogle Scholar
  19. 19.
    Voepel-Lewis T, Merkel S, Tait AR, et al. The reliability and validity of the Face, Legs, Activity, Cry, Consolability observational tool as a measure of pain in children with cognitive impairment. Anesth Analg. 2002;95(5):1224–9.CrossRefGoogle Scholar
  20. 20.
    Breau LM, McGrath PJ, Camfield CS. Psychometric properties of the non-communicating children’s pain checklist-revised. Pain. 2002;99(1–2):349–57.CrossRefGoogle Scholar
  21. 21.
    Hunt AM. A survey of signs, symptoms and symptom control in 30 terminally ill children. Dev Med Child Neurol. 1990;32(4):341–6.CrossRefGoogle Scholar
  22. 22.
    Hunt A, Burne R. Medical and nursing problems of children with neurodegenerative disease. Palliat Med. 1995;9(1):19–26.CrossRefGoogle Scholar
  23. 23.
    Solodiuk J, Curley MA. Pain assessment in nonverbal children with severe cognitive impairments: the Individualized Numeric Rating Scale (INRS). J Pediatr Nurs. 2003;18(4):295–9.CrossRefGoogle Scholar
  24. 24.
    Suzuki T. Does the combination use of two pain assessment tools have a synergistic effect? J Intensive Care. 2017;5:1.CrossRefGoogle Scholar
  25. 25.
    Aitken RC. Measurement of feelings using visual analogue scales. Proc R Soc Med. 1969;62(10):989–93.PubMedPubMedCentralGoogle Scholar
  26. 26.
    Hawker GA, Davis AM, French MR, et al. Development and preliminary psychometric testing of a new OA pain measure–an OARSI/OMERACT initiative. Osteoarthr Cartil. 2008;16(4):409–14.CrossRefGoogle Scholar
  27. 27.
    Melzack R. The McGill Pain Questionnaire: major properties and scoring methods. Pain. 1975;1(3):277–99.CrossRefGoogle Scholar
  28. 28.
    Melzack R. The short-form McGill Pain Questionnaire. Pain. 1987;30(2):191–7.CrossRefGoogle Scholar
  29. 29.
    Ngamkham S, Vincent C, Finnegan L, et al. The McGill Pain Questionnaire as a multidimensional measure in people with cancer: an integrative review. Pain Manag Nurs. 2012;13(1):27–51.CrossRefGoogle Scholar
  30. 30.
    Lichtner V, Dowding D, Esterhuizen P, et al. Pain assessment for people with dementia. BMC Geriatr. 2014;14:138.CrossRefGoogle Scholar
  31. 31.
    Feldt KS. The checklist of nonverbal pain indicators (CNPI). Pain Manag Nurs. 2000;1(1):13–21.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Vikram B. Patel
    • 1
  • Chandani P. DeZure
    • 2
    • 3
  1. 1.Phoenix Interventional Center for Advanced LearningAlgonquinUSA
  2. 2.Children’s National Health SystemWashington, DCUSA
  3. 3.George Washington University School of Medicine and Health SciencesWashington, DCUSA

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