Brief Pain Inventory Short Form

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Brief pain inventory short form do not write above this line. Yes no 0 1 2 3 4 5 6 7 8 9 10.

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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. 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 first name date last name time 1. 012345678910 no pain as bad as pain you can imagine 1.

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. Pain explanation and treatment diagram what are your pain risk factors.

Brief pain inventory brief pain inventory short form. The bpi is available in two formats. Male and female pain template.

Wong baker faces pain scale. Rating of the pain at its worst in the last 24 hours. Brief pain inventory short form 2.

Have you had pain other than these everyday kinds of pain today. The authors recommend the use of the short form bpi for its brevity and for the patient s ease of use. The bpi short form is a 9 point questionnaire that involves around the pain and its allied aspects.

Pain research group department of neuro oncology the university of texas md anderson cancer center. Areas of pain. Have you had pain other than these every day kinds of pain today.

On the diagram shade in the areas where you feel pain. Bpi long form which contains additional descriptive items that may be clinically useful. Put an x on the area that hurts the most.

Here we list the main points covered in the bpi short form. 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. Brief pain inventory short form.

Bpi short form which is used for clinical monitoring of pain and for use in clinical trials where multiple assessment of pain are required. Put an x on. Visit date dd mm yyyy.

Occurrence of pain. Brief pain inventory short form patient initials. Rating of the pain at its least in the last 24 hours.

On the diagram shade in the areas where you feel pain. Have you had pain other than these everyday kinds of pain during the last week. 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 faces pain scale revised fps r fatigue severity scale fss questionnaire.

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