Scribd Logo
Upload

Welcome to Scribd!

  • 856 views

    DN4 Assessment Tool

    Uploaded by

    rahmi
    The document is a 4 question questionnaire used to estimate the probability of neuropathic pain. It asks the patient questions about the characteristics of their pain, associated symptoms, physical exam findings in the painful area, and stimuli that cause or increase their pain. The patient is given a score out of 10 possible points based on their responses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    DN4 Assessment Tool

    Uploaded by

    rahmi
    856 views1 page
    The document is a 4 question questionnaire used to estimate the probability of neuropathic pain. It asks the patient questions about the characteristics of their pain, associated symptoms, physical exam findings in the painful area, and stimuli that cause or increase their pain. The patient is given a score out of 10 possible points based on their responses.

    Original Description:

    tools neuropatic pain

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document is a 4 question questionnaire used to estimate the probability of neuropathic pain. It asks the patient questions about the characteristics of their pain, associated symptoms, physical exam findings in the painful area, and stimuli that cause or increase their pain. The patient is given a score out of 10 possible points based on their responses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    856 views1 page

    DN4 Assessment Tool

    Uploaded by

    rahmi
    The document is a 4 question questionnaire used to estimate the probability of neuropathic pain. It asks the patient questions about the characteristics of their pain, associated symptoms, physical exam findings in the painful area, and stimuli that cause or increase their pain. The patient is given a score out of 10 possible points based on their responses.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    You are on page 1of 1

    DN4 – QUESTIONNAIRE

    To estimate the probability of neuropathic pain, please answer yes or no


    for each item of the following four questions.

    INTERVIEW OF THE PATIENT

    QUESTION 1:
    Does the pain have one or more of the following characteristics? YES NO
    Burning . . . . . . . . . . ....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Painful cold . . . . . ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Electric shocks . . ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    QUESTION 2:
    Is the pain associated with one or more of the following
    symptoms in the same area? YES NO
    Tingling . . . . . . . . . ......................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Pins and needles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Numbness . . . . . . ........................ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Itching . . . . . . . . . . . ....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏

    EXAMINATION OF THE PATIENT

    QUESTION 3:
    Is the pain located in an area where the physical examination
    may reveal one or more of the following characteristics? YES NO
    Hypoesthesia to touch ................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    Hypoesthesia to pinprick .................. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏
    QUESTION 4:
    In the painful area, can the pain be caused or increased by: YES NO
    Brushing? . . . . . . . ....................... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ❏ ❏

    YES = 1 point
    NO = 0 points Patient’s Score: /10

    You might also like