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Pain & Rehab Medicine 9202888377 PATIENT PAIN QUESTIONNAIRE Instructions to Patient: This questionnaire is designed to help us evaluate and treat your pain in the most effective and appropriate.

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The main component of the SF-MPQ consists of 15 descriptors (11 sensory; 4 affective) which are rated on an intensity scale as 0 = none, 1 = mild, 2 = moderate or 3 = severe. Three pain scores are derived from the sum of the intensity rank values of the words chosen for sensory, affective and total descriptors.

The MPQ is composed of 78 words. Respondents choose those that best describe their experience of pain. Scores are tabulated by summing values associated with each word; scores range from 0 (no pain) to 78 (severe pain). Qualitative differences in pain may be reflected in respondent's word choice (Melzack, 1975).

Pain pattern represents how the individual's pain changes with time. 5. In many pain measurement tools, however, the specific time period for the change is not stipulated typically. Theoretically, pain pattern involves the onset, frequency, duration and changes in pain over time.

To answer each question below write the number of the most appropriate word in the space beside the question. Interpretation: • minimum pain score: 0 (would not be seen in a person with true pain) • maximum pain score: 78 • The higher the pain score the greater the pain.

Pain intensity is of valuable diagnostic information, and we ask patients to evaluate how strong their pain feels. A simple and quick way is to ask the patient to assess pain intensity on a scale of 0–10 (verbal analogue scale, where 0 means no pain at all, and 10 the most excruciating pain imagined).

McGill Pain Questionnaire. The descriptors are classified into four major groups: sensory, 1–10; affective, 11–15; evaluative, 16; and miscellaneous, 17–20. The rank value for each descriptor is based on its position in the word set. The sum of the rank values is the pain rating index (PRI).

Scoring of the four general factors is accomplished by assigning values for each item of 0 to the left-hand segment, 1 to the next segment, 2 to the next segment, and so on to the last segment.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232