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.
01 - SOMATIC REACTIONS
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
02 - PSYCHOMOTOR REACTIONS
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
03 - PSYCHOSOCIAL REACTIONS
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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