Topic 7 DQ2-answered.docx - Hello Jill Pain assessment is a...

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Hello Jill, Pain assessment is a critical step in the process of pain management. Any study of pain should include at least one self-report measure, and it is often beneficial to use either multiple measures or a multidimensional measure of pain. A review of the extensive cancer pain literature indicated that single-item VAS, VRS, and NRS all showed good validity and reliability, and it was concluded that no one of these measures was consistently superior. However, we can advise that in studies of elderly or cognitively compromised subjects, use of a VRS or NRS is strongly preferable to use of a VAS. Pain relief should be measured using sequential ratings which changes from pretreatment to posttreatment, rather than a retrospective impression. Electronic assessment and daily diaries may be extremely useful in reducing the memory biases associated with recall of pain, and in obtaining a more precise sense of the variability in day-to-day pain

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