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10. Psychosocial Pain Assessment Form - City of Hope, Duarte, CA- Developed by Shirley Otis-Green, MSW, LCSW. This 8-page assessment and guided interview form measures theimpact of pain on five domains; economics, social support, activities of daily living, emotional problems, and copingbehaviors as perceived by the interviewer, patient and significant other.Website: http://prc.coh.org/pdf/Psychosocial%20Pain%20Assessment%20Form.pdf.- Psychosocial Pain Assessment Forms in Spanish (for adults and children/adolescents):Adults: http://prc.coh.org/pdf/Forma%20%20Adultos%20PS.pdf.Children/Adolescents: http://prc.coh.org/pdf/Formulario%20Ninos.pdf.11. State of the Art Review of Tools for Assessment of Pain in Nonverbal Older Adults- Overview, Criteria for Evaluation, Comparison Grid, Comparison of Tool Items with AGS Persistent Pain- Guidelines, Review References- Abbey Pain Scale (Abbey) (Abbey, J., et al.)- Assessment of Discomfort in Dementia (ADD) Protocol, (Kovach, C.R., et al.)- Certified Nurse Assistant Pain Assessment Tool (CPAT), (Cervo, F., et al.)- Checklist of Nonverbal Pain Indicators (CNPI), (Feldt, K.)- Disability Distress Assessment Tool (Dis DAT) (Regnard, C., et al.)- Discomfort Behavior Scale (DBS) (Stevenson, K., et al.)- Discomfort Scale-Dementia of the Alzheimer’s Type (DS-DAT), (Hurley, A., et al.)- Doloplus 2, (Wary, B and the Doloplus Group)- Elderly Pain Caring Assessment 2 (EPCA-2) (Morello, R., et al.)- Face, Legs, Activity, Cry and Consolability Pain Assessment Tool (the FLACC), (Merkel, S. I., et al.)- Mobilization-Observation-Behavior-Intensity-Dementia Pain Scale (MOBID) (Husebo, B. S., et al.)- Nursing Assistant-Administered Instrument to Assess Pain in Demented Individuals (NOPPAIN), (Snow, A. L., et al.)- Pain Assessment in Advanced Dementia (PAINAD) Scale, (Warden, V., et al.)- Pain Assessment for the Dementing Elderly (PADE), (Villaneuva, M., R., et al.)- Pain Assessment in Noncommunicative Elderly Persons (PAINE) (Cohen-Mansfield, J., et al.)- Pain Assessment Scale for Seniors with Severe Dementia (PACSLAC), (Fuchs-Lacelle, S. K., et al.)- Pain Behaviors for Osteoarthritis Instrument for Cognitively Impaired Elders (PBOICE) (Tsai, P., et al.)Website: http://prc.coh.org/PAIN-NOA.htm.IV. Pain and Symptom ManagementB. Pharmacology/Policies and ProceduresSection Description: Includes pain management reference cards, algorithm packets, along with flow sheets to record painassessment and management as well as meperidine usage guidelines.For more information see Section VI.B. Patient and Family EducationCity of Hope Publications1. Paice, J. A., & Ferrell, B. R. (2011). The management of cancer pain. CA: A Cancer Journal for Clinicians, 61(3), 157-182.DOI: 10.3322/caac.20112.2. Borneman, T., Koczywas, M., Sun, V. C., Piper, B. F., Uman, G., & Ferrell, B. (2010). Reducing patient barriers to pain andfatigue management. Journal of Pain and Symptom Management, 39(3), 486-501. DOI: 10.1016/j.jpainsymman.2009.08.007.3. Borneman, T., & Ferrell, B. R. (2010). Maximizing cancer pain management. Coping with Cancer, 24(1), 15-15.4. Sun, V., Borneman, T., Piper, B., Koczywas, M., & Ferrell, B. (2008). Barriers to pain assessment and management in cancersurvivorship. Journal of Cancer Survivorship, 2(1), 65-71. DOI: 10.1007/s11764-008-0047-0.5. Otis-Green, S., Lucas, S., Spolum, M., Ferrell, B., & Grant, M. (2008). Promoting excellence in pain management andpalliative care for social workers. Journal of Social Work in End-of-Life & Palliative Care, 4(2), 120-134.DOI: 10.1080/15524250802353942.6. Ferrell, B., Levy, M. H., & Paice, J. (2008). Managing pain from advanced cancer in the palliative care setting. ClinicalJournal of Oncology Nursing, 12(4), 575-581. DOI: 10.1188/08.CJON.575-581.7. Sun, V. C., Borneman, T., Ferrell, B., Piper, B., Koczywas, M., & Choi, K. (2007). Overcoming barriers to cancer painmanagement: An institutional change model. Journal of Pain and Symptom Management, 34(4), 359-369.DOI: 10.1016/j.jpainsymman.2006.12.011.32