Brief Pain Inventory Scoring Pdf

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Adapted to single page format. Brief pain inventory short form 2.

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Please rate your pain by circling the one number that best describes your pain on the average.

Brief pain inventory scoring pdf. Please rate your pain by circling the one number that tells how much pain you have right now. Have you had pain other than these everyday kinds of pain today. Initially developed to assess pain.

The brief pain inventory short form bpi sf is a 9 item self administered questionnaire used to evaluate the severity of a patient s pain and the impact of this pain on the patient s daily functioning. Provided as an educational service by 50678 9 22 04 11 21 pm page 2. Pain research group department of neuro oncology the university of texas md anderson cancer center.

Put an x on the area that hurts the most. Please rate your pain by circling the one nuimber that best describes your pain at its least in the last 24 hours. The brief pain inventory bpi is a self administered assessment tool used in pain management.

Pain severity score mean of items 3 6 pain at its worst pain at its least average pain interference score mean of items 9a 9g interference of pain with. Brief pain inventory short form first name date last name time 1. Brief pain inventory short form title.

Have you had pain other than these everyday kinds of pain today. Throughout our lives most of us have had pain from time to time such as minor headaches sprains and toothaches. Brief pain inventory short form patient initials.

General activity mood walking normal work relations sleep. 012345678910 no pain as bad as pain you can imagine 15 please rate your pain by circling the one number that tells how much pain you have right now. Please rate your pain by marking the box beside the number that best describes your pain at its worst in the last 24 hours.

Brief pain inventory short form. On the diagram shade in the areas. The bpi was originally developed from a measure known as the wisconsin brief pain questionnaire.

The basic aim of the bpi is to provide the information on the intensity of pain along with the degree to which the pain interferes with the everyday functioning of life. 14 please rate your pain by circling the one number that best describes your pain on the average. 012345678910 no pain as bad as pain you can imagine.

Brief pain inventory short form created date. Development of the brief pain inventory the brief pain inventory bpi has become one of the most widely used measurement tools for assessing clinical pain. Brief pain inventory brief pain inventory short form.

The bpi allows patients to rate the severity of their pain and the degree to which their pain interferes with common dimensions of feeling and function. On the diagram shade in the areas where you feel pain.

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