The Clinical Guide to Supportive and Palliative Care for HIV/AIDS

A Clinical Guide to Supportive and Palliative Care for HIV/AIDS • Chapter 3: Assessment of Physical SymptomsFigure 3-3: Brief Pain Inventory (continued)2226 picasBrief Brief Pain Pain Inventory Inventory continuedFor each of the following words, check Yes or No if that adjective applies to your pain.Aching ❑ Yes ❑ No Tender ❑ Yes ❑ No Numb ❑ Yes ❑ NoThrobbing ❑ Yes ❑ No Burning ❑ Yes ❑ No Miserable ❑ Yes ❑ NoShooting ❑ Yes ❑ No Exhausting ❑ Yes ❑ No Unbearable ❑ Yes ❑ NoStabbing ❑ Yes ❑ No Tiring ❑ Yes ❑ NoGnawing ❑ Yes ❑ No Penetrating ❑ Yes ❑ NoSharp ❑ Yes ❑ No Nagging ❑ Yes ❑ NoIII23 Circle the one number that describes how, during the past week, pain hasinterfered with your:A. General Activity0 1 2 3 4 5 6 7 8 9 10Does not InterfereB. MoodCompletelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereC. Walking abilityCompletelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereD. Normal work (includes both work outside the home and housework)Completelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereE. Relations with other peopleCompletelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereF. SleepCompletelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereG. Enjoyment of lifeCompletelyinterferes0 1 2 3 4 5 6 7 8 9 10Does not InterfereCompletelyinterferesSource: Charles S Cleeland. Pain Research Group, MD Anderson Cancer Center. Coypright 1991. Reproduced with permission.U.S. Department of Health and Human Services • Health Resources and Services Administration • HIV/AIDS Bureau 71