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A pictorial scale of pain intensity (SPIN) for patients with communication impairments

A pictorial scale of pain intensity (SPIN) for patients with communication impairments
A pictorial scale of pain intensity (SPIN) for patients with communication impairments
Patients with impaired communication often have difficulty describing symptoms such as pain, which hinders both clinical treatment and research. The objective of this study was to develop and characterize a step-by-step process for introducing a new pictorial scale of pain intensity (SPIN) to stroke patients with communication deficits undergoing rehabilitation. To exemplify the process, this article describes a single patient with profound aphasia and rightsided hemiplegia, who was thought to have severe pain in his affected shoulder, probably associated with neuropathic pain. A method of presenting the SPIN, based on a total communication approach, was established and serial pain ratings made by the patient were found to be consistent with independent clinical records. The SPIN appears to have potential as a method for quantifying pain severity in people with limited communication. Further evaluation is needed in a larger sample of patients.
1741-1645
457-463
Jackson, Diane
85707eb4-c29e-4638-9685-f5d74523eed2
Horn, Sandra
8637e72e-5576-42ea-bbe5-f67f01e336d1
Kersten, Paula
039a54d8-5629-47fd-ba55-5b60e7d3e7dc
Turner-Stokes, Lynne
4c04802a-f316-4cd5-a4ab-82874f0bb83d
Jackson, Diane
85707eb4-c29e-4638-9685-f5d74523eed2
Horn, Sandra
8637e72e-5576-42ea-bbe5-f67f01e336d1
Kersten, Paula
039a54d8-5629-47fd-ba55-5b60e7d3e7dc
Turner-Stokes, Lynne
4c04802a-f316-4cd5-a4ab-82874f0bb83d

Jackson, Diane, Horn, Sandra, Kersten, Paula and Turner-Stokes, Lynne (2006) A pictorial scale of pain intensity (SPIN) for patients with communication impairments. International Journal of Therapy and Rehabilitation, 13 (10), 457-463.

Record type: Article

Abstract

Patients with impaired communication often have difficulty describing symptoms such as pain, which hinders both clinical treatment and research. The objective of this study was to develop and characterize a step-by-step process for introducing a new pictorial scale of pain intensity (SPIN) to stroke patients with communication deficits undergoing rehabilitation. To exemplify the process, this article describes a single patient with profound aphasia and rightsided hemiplegia, who was thought to have severe pain in his affected shoulder, probably associated with neuropathic pain. A method of presenting the SPIN, based on a total communication approach, was established and serial pain ratings made by the patient were found to be consistent with independent clinical records. The SPIN appears to have potential as a method for quantifying pain severity in people with limited communication. Further evaluation is needed in a larger sample of patients.

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More information

Published date: October 2006

Identifiers

Local EPrints ID: 55322
URI: http://eprints.soton.ac.uk/id/eprint/55322
ISSN: 1741-1645
PURE UUID: 79685ec0-9aef-4e24-9a92-49b46440f268

Catalogue record

Date deposited: 30 Jul 2008
Last modified: 08 Jan 2022 01:12

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Contributors

Author: Diane Jackson
Author: Sandra Horn
Author: Paula Kersten
Author: Lynne Turner-Stokes

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