Behavioral pain assessment in the elderly

This tool is intended for healthcare professionals. It is an evaluation tool used and validated in clinical medicine and by healthcare professionals, to whom it gives an expert view to understand patient´s condition. A self-measurement test will not be sufficient to complete and interpret correctly these scales.
The Doloplus-2 scale is used to assess the impact of pain in the elderly. The scale assesses the physical, psychological and social impact of pain. It is divided in 3 categories that each consist of 10 sub-items. Regular re-evaluations will allow the tracking of the evolution of pain symptoms and treatment efficacy.
  • Somatic complaints
  • no complaints
  • complaints expressed upon inquiry only
  • occasionnal involuntary complaints
  • continuous involontary complaints
  • Protective body postures adopted at rest
  • no protective body posture
  • the patient occasionally avoids certain positions
  • protective postures continuously and effectively sought
  • protective postures continuously sought, without success
  • Protection of sore areas
  • no protective action taken
  • protective actions attempted without interfering against any investigation or nursing
  • protective actions against any investigation or nursing
  • protective actions taken at rest, even when not approached
  • Expression
  • usual expression
  • expression showing pain when approached
  • expression showing pain even without being approached
  • permanent and unusually blank look (voiceless,staring, looking blank)
  • Sleep pattern
  • normal sleep
  • difficult to go to sleep
  • frequent waking (restlessness)
  • insomnia affecting waking times
  • washing &/or dressing
  • usual abilities unaffected
  • usual abilities slightly affected (careful but thorough)
  • usual abilities highly impaired, washing &/or dressing is laborious and incomplete
  • washing &/or dressing rendered impossible as the patient resists any attempt
  • Mobility
  • usual abilities & activities remain unaffected
  • usual activities are reduced (the patient avoids certain movements and reduces his/her walking distance)
  • usual activities and abilities reduced (even with help, the patient cuts down on his/her movements)
  • any movement is impossible, the patient resists all persuasion
  • Communication
  • unchanged
  • heightened (the patient demands attention in an unusual manner)
  • lessened (the patient cuts him/herself off)
  • absence or refusal of any form of communication
  • Social life
  • participates normally in every activity (meals, entertainment, therapy workshop)
  • participates in activities when asked to do so only
  • sometimes refuses to participate in any activity
  • refuses to participate in anything
  • Problems of behaviour
  • normal behaviour
  • problems of repetitive reactive behaviour
  • problems of permanent reactive behaviour
  • permanent behaviour problems (without any external stimulus)
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