open access

Vol 17, No 3 (2023)
Research paper
Published online: 2023-03-02
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Pain descriptors and adaptation of Short Form McGill Pain Questionnaire 2 (SF-MPQ-2) for older people in Brunei Darussalam

Muhammad Amirul Maidin1, Noor Artini Abdul Rahman2, Asmah Husaini1, Shyh Poh Teo2
·
Palliat Med Pract 2023;17(3):130-135.
Affiliations
  1. PAPRSB Institute of Health Sciences, University of Brunei Darussalam, Jalan Tungku, Gadong, Brunei Darussalam
  2. RIPAS Hospital, Bandar Seri Begawan, Brunei Darussalam

open access

Vol 17, No 3 (2023)
Research paper
Published online: 2023-03-02

Abstract

Background: Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is common in older people and tends to be under-reported and undertreated. In addition to quantifying pain severity using the visual analogue scale (VAS), the use of the translated Short-Form McGill Pain Questionnaire (SF-MPQ-2) to identify pain descriptors may assist with pain assessment in older people. The aim is to identify pain descriptors for different pain etiology in older people using the adapted SF-MPQ-2 Brunei Malay version and compare pain severity assessments using the VAS and SF-MPQ-2.

Patients and methods: A prospective study using the translated SF-MPQ-2 in older people admitted or seen in a clinic under Orthopaedics and Geriatrics specialities between November 2018 and February 2019.

Results: There were 75 participants, with 21 pain descriptors used. The main descriptors for fractures, osteoarthritis or muscle/tendon problems were identified. Despite pain medication, more than a third still experienced moderate to severe pain. However, almost all were satisfied with the pain management. There was a statistically significant difference in pain severity between the VAS and SF-MPQ-2, with the VAS possibly underestimating pain.

Conclusions: The adapted SF-MPQ-2 appears feasible for use with older people in Brunei. Further studies are required to formally validate the SF-MPQ-2 in older patients and with specific medical conditions, such as diabetes or surgery.

Abstract

Background: Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage. It is common in older people and tends to be under-reported and undertreated. In addition to quantifying pain severity using the visual analogue scale (VAS), the use of the translated Short-Form McGill Pain Questionnaire (SF-MPQ-2) to identify pain descriptors may assist with pain assessment in older people. The aim is to identify pain descriptors for different pain etiology in older people using the adapted SF-MPQ-2 Brunei Malay version and compare pain severity assessments using the VAS and SF-MPQ-2.

Patients and methods: A prospective study using the translated SF-MPQ-2 in older people admitted or seen in a clinic under Orthopaedics and Geriatrics specialities between November 2018 and February 2019.

Results: There were 75 participants, with 21 pain descriptors used. The main descriptors for fractures, osteoarthritis or muscle/tendon problems were identified. Despite pain medication, more than a third still experienced moderate to severe pain. However, almost all were satisfied with the pain management. There was a statistically significant difference in pain severity between the VAS and SF-MPQ-2, with the VAS possibly underestimating pain.

Conclusions: The adapted SF-MPQ-2 appears feasible for use with older people in Brunei. Further studies are required to formally validate the SF-MPQ-2 in older patients and with specific medical conditions, such as diabetes or surgery.

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Keywords

pain, analgesia, geriatrics, orthopaedics

About this article
Title

Pain descriptors and adaptation of Short Form McGill Pain Questionnaire 2 (SF-MPQ-2) for older people in Brunei Darussalam

Journal

Palliative Medicine in Practice

Issue

Vol 17, No 3 (2023)

Article type

Research paper

Pages

130-135

Published online

2023-03-02

Page views

301

Article views/downloads

302

DOI

10.5603/PMPI.a2023.0011

Bibliographic record

Palliat Med Pract 2023;17(3):130-135.

Keywords

pain
analgesia
geriatrics
orthopaedics

Authors

Muhammad Amirul Maidin
Noor Artini Abdul Rahman
Asmah Husaini
Shyh Poh Teo

References (26)
  1. Merskey H, Bogduk N. Classification of Chronic Pain. 2nd Ed. IASP Press, Seattle 1994: 11.
  2. Conelly P. The management of chronic pain in older persons. J Am Geriatr Soc. 1998(46): 635–651.
  3. Schofield P. Pain in older adults: epidemiology, impact and barriers to management. Rev Pain. 2007; 1(1): 12–14.
  4. Kaye AD, Baluch A, Scott JT. Pain management in the elderly population: a review. Ochsner J. 2010; 10(3): 179–187.
  5. Sengstaken EA, King SA. The problems of pain and its detection among geriatric nursing home residents. J Am Geriatr Soc. 1993; 41(5): 541–544.
  6. Cleeland CS. Undertreatment of cancer pain in elderly patients. JAMA. 1998; 279(23): 1914–1915.
  7. Cavalieri TA. Management of pain in older adults. J Am Osteopath Assoc. 2005; 105(3 Suppl 1): 12–17.
  8. Maidin MA, Teo SP. Assessment tools for pain severity in the elderly: a review. Pac J Med Sci. 2020; 20(2): 63–67.
  9. Dworkin RH, Turk DC, Revicki DA, et al. Development and initial validation of an expanded and revised version of the Short-form McGill Pain Questionnaire (SF-MPQ-2). Pain. 2009; 144(1-2): 35–42.
  10. Coggins MD. Undertreating Pain. Today’s Geriatric Medicine 2014;7:8. https://www.todaysgeriatricmedicine.com/archive/032414p8.shtml (23.04.2014 [??]).
  11. Wang JL, Zhang WJ, Gao M, et al. A cross-cultural adaptation and validation of the short-form McGill Pain Questionnaire-2: Chinese version in patients with chronic visceral pain. J Pain Res. 2017; 10: 121–128.
  12. Arimura T, Hosoi M, Tsukiyama Y, et al. Pain questionnaire development focusing on cross-cultural equivalence to the original questionnaire: the Japanese version of the Short-Form McGill Pain Questionnaire. Pain Med. 2012; 13(4): 541–551.
  13. Adelmanesh F, Jalali A, Attarian H, et al. Reliability, validity, and sensitivity measures of expanded and revised version of the short-form McGill Pain Questionnaire (SF-MPQ-2) in Iranian patients with neuropathic and non-neuropathic pain. Pain Med. 2012; 13(12): 1631–1636.
  14. Menezes Costa Ld, Maher CG, McAuley JH, et al. The Brazilian-Portuguese versions of the McGill Pain Questionnaire were reproducible, valid, and responsive in patients with musculoskeletal pain. J Clin Epidemiol. 2011; 64(8): 903–912.
  15. Jonsson B, Kanis J, Dawson A, et al. Effect and offset of effect of treatments for hip fracture on health outcomes. Osteoporos Int. 1999; 10(3): 193–199.
  16. van Staa TP, Dennison EM, Leufkens HG, et al. Epidemiology of fractures in England and Wales. Bone. 2001; 29(6): 517–522.
  17. Clement ND, Aitken SA, Duckworth AD, et al. The outcome of fractures in very elderly patients. J Bone Joint Surg Br. 2011; 93(6): 806–810.
  18. Loeser RF. Age-related changes in the musculoskeletal system and the development of osteoarthritis. Clin Geriatr Med. 2010; 26(3): 371–386.
  19. Neogi T. The epidemiology and impact of pain in osteoarthritis. Osteoarthritis Cartilage. 2013; 21(9): 1145–1153.
  20. Mili F, Helmick CG, Moriarty DG. Health related quality of life among adults reporting arthritis: analysis of data from the Behavioral Risk Factor Surveillance System, US, 1996-99 . J Rheumatol. 2013; 30(1): 160–166.
  21. Mushtaq S, Choudhary R, Scanzello CR. Non-surgical treatment of osteoarthritis-related pain in the elderly. Curr Rev Musculoskelet Med. 2011; 4(3): 113–122.
  22. Stewart Williams J, Ng N, Peltzer K, et al. Risk factors and disability associated with low back pain in older adults in low- and middle-income countries. Results from the WHO study on global ageing and adult health (SAGE). PLoS One. 2015; 10(6): e0127880.
  23. Ferrell BA, Ferrell BR, Rivera L. Pain in cognitively impaired nursing home patients. J Pain Symptom Manage. 1995; 10(8): 591–598.
  24. Hjermstad MJ, Fayers PM, Haugen DF, et al. European Palliative Care Research Collaborative (EPCRC). Studies comparing Numerical Rating Scales, Verbal Rating Scales, and Visual Analogue Scales for assessment of pain intensity in adults: a systematic literature review. J Pain Symptom Manage. 2011; 41(6): 1073–1093.
  25. Wynne CF, Ling SM, Remsburg R. Comparison of pain assessment instruments in cognitively intact and cognitively impaired nursing home residents. Geriatr Nurs. 2000; 21(1): 20–23.
  26. Chin AF, Husaini A, Rahman NA, et al. Acute pain assessment practice among healthcare professionals from medical and surgical wards in Brunei hospitals. Aging Med Healthc. 2021; 12(3): 72–81.

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