Document Detail

The measurement of leg ulcer pain: identification and appraisal of pain assessment tools.
MedLine Citation:
PMID:  14581818     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify and compare the psychometric, clinical sensibility, and pain-specific properties of leg ulcer pain assessment tools for use as a guide for clinicians and researchers. DESIGN: Pain assessment tools were selected for appraisal based on 4 inclusion criteria: (1) designed specifically to measure either quality and/or intensity of pain, (2) used in at least 2 different diseases and/or pain-inducing interventions in adults, (3) generic, and (4) patient self-reporting. The tools were appraised against psychometric properties, clinical sensibility attributes, and pain-specific issues. Two reviewers independently reviewed each abstract, with a third reviewer resolving any disagreements. Then the first 2 reviewers independently assessed the selected tools using the predetermined appraisal criteria. RESULTS: Of 54 identified pain assessment tools, 5 (the pain ruler, the numerical rating scale, the visual analogue scale, the verbal descriptor scale, and the short-form McGill Pain Questionnaire) met the inclusion criteria. Each tool met the appraisal criteria to varying degrees. CONCLUSIONS: The use of a pain assessment tool to measure leg ulcer pain is recommended. Clinicians must decide independently which factors are most important when selecting a tool. Although a specific pain assessment approach cannot yet be recommended, a 2-step pain assessment process is most practical. To optimize pain management, further study is needed to ensure that leg ulcer pain is accurately and reliably assessed.
Kathleen A Nemeth; Ian D Graham; Margaret B Harrison
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  16     ISSN:  1527-7941     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:    2003 Sep-Oct
Date Detail:
Created Date:  2003-10-28     Completed Date:  2003-11-25     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  260-7     Citation Subset:  N    
Thrombosis/Hemostasis Research Group, The Ottawa Hospital, Ottawa, Ontario, Canada.
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MeSH Terms
Leg Ulcer / physiopathology*
Pain Measurement / methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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