Pain Assessment: Use of the Defense and Veterans Pain Rating Scale in Patients With Cancer

Clin J Oncol Nurs. 2018 Dec 1;22(6):643-648. doi: 10.1188/18.CJON.643-648.

Abstract

Background: Thorough, consistent pain assessment and reassessment are critical to guide and evaluate interventions designed to improve pain.

Objectives: Based on a literature review about functional pain assessment, clinicians selected and then implemented the Defense and Veterans Pain Rating Scale (DVPRS) as a pain assessment instrument option in a comprehensive cancer center.

Methods: The DVPRS was added as a pain assessment instrument in clinical oncology practice. From postimplementation chart review and clinician satisfaction surveys, the DVPRS was evaluated for the following.

Findings: Seventy-eight percent of nurses surveyed (N = 64) preferred the DVPRS over any other pain assessment tool. Inpatient and ambulatory patients surveyed (N = 144) agreed that a Likert-type scale in the DVPRS was easier to understand, easier to use, and better in describing their pain than the numeric rating scale.

Keywords: Defense and Veterans Pain Rating Scale; cancer; functional status; pain; pain assessment.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Cancer Care Facilities
  • Cancer Pain / diagnosis*
  • Cancer Pain / drug therapy*
  • Chronic Pain / diagnosis
  • Chronic Pain / drug therapy
  • Female
  • Humans
  • Male
  • Middle Aged
  • Ohio
  • Pain Management / methods*
  • Pain Measurement / methods*
  • Pain, Intractable / diagnosis
  • Pain, Intractable / drug therapy
  • Sensitivity and Specificity
  • Severity of Illness Index
  • Veterans
  • Wounds and Injuries / diagnosis*
  • Wounds and Injuries / drug therapy