Occurrence of pain. Brief pain inventory short form first name date last name time 1.
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Throughout our lives most of us have had pain from time to time such as minor headaches sprains and toothaches.
Brief pain inventory short form scoring. Visit date dd mm yyyy. Throughout our lives most of us have had pain from time to time such as minor headaches sprains and toothaches. Areas of pain.
Brief pain inventory short form patient initials. Brief pain inventory short form. The brief pain inventory short form bpi sf is a 9 item self administered questionnaire used to evaluate the severity of a patient s pain and the impact of this pain on the patient s daily functioning.
Put an x on. Have you had pain other than these everyday kinds of pain today. The bpi short form is a 9 point questionnaire that involves around the pain and its allied aspects.
Rating of the pain at its worst in the last 24 hours. Have you had pain other than these everyday kinds of pain during the last week. Here we list the main points covered in the bpi short form.
Rating of the pain at its least in the last 24 hours. On the diagram shade in the areas where you feel pain.
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