Short-form McGill Pain Questionnaire 2
This file contains the Short-form McGill Pain Questionnaire 2 (SF-MPQ-2) designed to assess pain intensity. Patients are instructed to rate various pain qualities experienced over the past week. This questionnaire is crucial for understanding individual pain experiences following surgery or pelvic pain.
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How do I fill this out?
To fill out this questionnaire, start by reading the list of pain descriptors. Rate the intensity of each descriptor based on your experience over the past week. Ensure you focus on pain related to your recent surgery or pelvic area.
How to fill out the Short-form McGill Pain Questionnaire 2?
1
Read each pain descriptor carefully.
2
Rate the intensity of your pain from 0 to 10.
3
Use '0' if the descriptor does not apply to you.
4
Limit your responses to pain related to surgery or pelvic pain.
5
Submit the completed questionnaire to the appropriate healthcare provider.
Who needs the Short-form McGill Pain Questionnaire 2?
1
Patients recovering from surgery need this file to report their pain levels accurately.
2
Healthcare providers use this file for assessing pain management effectiveness.
3
Researchers require this file to collect data on pain experiences in clinical studies.
4
Pain management specialists utilize this file to tailor treatment plans for individual patients.
5
Physical therapists need this file to evaluate the impact of therapy on patient pain levels.
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1
Open the PDF document on PrintFriendly.
2
Click on the edit button to enter editing mode.
3
Fill in your pain ratings based on your assessment.
4
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5
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What are the instructions for submitting this form?
Upon completion of the form, you can submit it to your healthcare provider using the provided contact details. You may email a scanned copy to your provider's designated email address or fax it to the provided number. Make sure to keep a copy for your records and consult your healthcare provider for any concerns regarding submission instructions.
What are the important dates for this form in 2024 and 2025?
There are no specific important dates for the SF-MPQ-2 as it can be used at any time for pain assessment following surgery or for chronic pelvic pain. However, consult with your healthcare provider for any time-sensitive evaluations.
What is the purpose of this form?
The purpose of the Short-form McGill Pain Questionnaire 2 is to provide a structured method for patients to articulate their pain experiences. It facilitates effective communication between patients and healthcare providers, enhancing pain management strategies. Ultimately, the SF-MPQ-2 aims to improve patient care by allowing for tailored approaches to managing pain.
Tell me about this form and its components and fields line-by-line.
- 1. Throbbing pain: Rate the intensity from none to worst possible.
- 2. Shooting pain: Rate the intensity from none to worst possible.
- 3. Stabbing pain: Rate the intensity from none to worst possible.
- 4. Sharp pain: Rate the intensity from none to worst possible.
- 5. Cramping pain: Rate the intensity from none to worst possible.
- 6. Gnawing pain: Rate the intensity from none to worst possible.
- 7. Hot-burning pain: Rate the intensity from none to worst possible.
- 8. Aching pain: Rate the intensity from none to worst possible.
- 9. Heavy pain: Rate the intensity from none to worst possible.
- 10. Tender pain: Rate the intensity from none to worst possible.
- 11. Splitting pain: Rate the intensity from none to worst possible.
- 12. Tiring-exhausting pain: Rate the intensity from none to worst possible.
- 13. Sickening pain: Rate the intensity from none to worst possible.
- 14. Fearful pain: Rate the intensity from none to worst possible.
- 15. Punishing-cruel pain: Rate the intensity from none to worst possible.
- 16. Electric-shock pain: Rate the intensity from none to worst possible.
- 17. Cold-freezing pain: Rate the intensity from none to worst possible.
- 18. Piercing pain: Rate the intensity from none to worst possible.
- 19. Pain caused by light touch: Rate the intensity from none to worst possible.
- 20. Itching: Rate the intensity from none to worst possible.
- 21. Tingling or 'pins and needles': Rate the intensity from none to worst possible.
- 22. Numbness: Rate the intensity from none to worst possible.
- 23. Present Pain Intensity (PPI): Rate the intensity of your pelvic pain.
- 24. Overall pain intensity: Please check the word that describes your pain.
What happens if I fail to submit this form?
If the form is not submitted, your healthcare provider may not receive crucial information about your pain. This may hinder their ability to provide appropriate care or adjust pain management strategies. It's essential to complete and submit the questionnaire to ensure your pain concerns are addressed.
- Delayed Diagnosis: Failure to submit can lead to delays in addressing your pain management needs.
- Inadequate Pain Management: Without proper submission, healthcare providers cannot adjust treatments based on current pain levels.
- Miscommunication: Lack of submission may cause miscommunication between you and your healthcare provider regarding your pain experience.
How do I know when to use this form?
- 1. Post-surgery Assessment: To evaluate pain following surgical procedures.
- 2. Chronic Pain Management: For ongoing monitoring of chronic pelvic pain.
- 3. Research Studies: As a means to gather patient pain data for clinical research.
Frequently Asked Questions
What is the purpose of the SF-MPQ-2?
The SF-MPQ-2 is designed to evaluate and quantify pain intensity experienced by patients over the past week.
How do I fill out the questionnaire?
Rate your pain on a scale of 0 to 10 for each described pain type, focusing on your pelvic pain or pain post-surgery.
Can I edit the PDF on PrintFriendly?
Yes, you can easily edit the PDF document to input your responses using PrintFriendly's editing tools.
Is it possible to share my filled PDF?
Absolutely! PrintFriendly allows you to share your completed questionnaire via email or by sharing a link.
How do I save my edited document?
After making your edits, you can download the updated PDF to your device for future reference.
Who should use this questionnaire?
This questionnaire is intended for patients who need to report their pain levels, as well as healthcare professionals for assessment.
What if I can't remember my pain levels?
Try to recall the most intense pain you experienced and rate accordingly using the descriptors provided.
Can I use this form multiple times?
Yes, you may use this questionnaire multiple times to document changes in your pain levels over time.
What do I do after filling out the form?
Submit the completed form to your healthcare provider for further evaluation and management.
Is there a time limit to submit this form?
It's recommended to submit the questionnaire shortly after your pain experience to ensure accurate assessment.
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