Appendix: Multidimensional Pain Assessment Tools

McGill Pain Questionnaire

PATIENTS NAME PRI: S (1-10) (11-15) (16) (17-20) (1-20) A E M

DATE PRI(T)

TIME PPI

AM/PM

FLICKERING QUIVERING PULSING THROBBING BEATING POUNDING JUMPING FLASHING SHOOTING

11 12 13

TIRING EXHAUSTING SICKENING SUFFOCATING FEARFUL FRIGHTFUL TERRIFYING PUNISHING GRUELLING CRUEL VICIOUS KILLING WRETCHED BLINDING ANNOYING TROUBLESOME MISERABLE INTENSE UNBEARABLE SPREADING RADIATING PENETRATING PIERCING

BRIEF MOMENTARY TRANSIENT

RHYTHMIC PERIODIC INTERMITTENT

CONTINUOUS STEADY CONSTANT

14 3 PRICKING BORING DRILLING STABBING LANCINATING 15 4 SHARP CUTTING LACERATING PINCHING PRESSING GNAWING CRAMPING CRUSHING TUGGING PULLING WRENCHING HOT BURNING SCALDING SEARING TINGLING ITCHY SMARTING STINGING DULL SORE HURTING ACHING HEAVY 16

17

E = EXTERNAL I = INTERNAL

18 TIGHT NUMB DRAWING SQUEEZING TEARING 19 COOL COLD FREEZING

COMMENTS:

20 NAGGING NAUSEATING AGONIZING DREADFUL TORTURING 0 1 2 3 4 5 PPI NO PAIN MILD DISCOMFORTING DISTRESSING HORRIBLE EXCRUCIATING

10 TENDER TAUT RASPING SPLITTING

The descriptors fall into four major groups: sensory, 1 to 10; affective, 11 to 15; evaluative, 16; and miscellaneous, 17 to 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). The present pain intensity (PPI) is based on a scale of 0 to 5. Copyright 1970 Ronald Melzack.