Pain Assessment Form Page 3

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PAIN ASSESSMENT
ABBEY PAIN SCALE
In residents with cognitive impairment and late stage dementia and who cannot verbalise the Abbey Pain
4
Scale
is an efficient and effective informant-based tool. Assessment includes date, time, and signature of
person making the assessment. The tool measures severity of ‘acute pain’, ‘chronic pain’ and ‘acute on
4
chronic pain’
. Each item is leveled on a four point scale for severity (absent: 0; mild: 1; moderate: 2;
severe: 3). Item scores are individualised and summed up with a score ranging from 0-18.
No pain: 0-2
Mild pain: 3-7
Moderate: 8-13
Severe: 14+
The Map of medicine is a useful resource for health professionals :
1.
Ruder, S. (2010). Seven tools to assist hospice and home care clinicians in pain management at end of life. Home Healthcare Nurse.
Retrieved from
nd
2.
McCaffery, M., & Pasero, C. (1999). Pain. Clinical manual (2
ed.). St. Louis, MO: Mosby.
3.
Australian National Health and Research Council. (2006). Guidelines for a Palliative Approach in Residential Aged Care. Retrieved
from
https://
609_0.pdf
4.
Abbey, J; De Bellis, A; Piller, N; Esterman, A; Giles, L; parker, D and Lowcay, B. Funded by the JH & JD Gunn Medical Research
Foundation 1998-2002.
March 2017
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