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asking an older person questions about their pain – consider using terms such as ‘hurting’, ‘aching’ and ‘soreness’ and document these terms if the older person uses them1.
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Use it with all older people, including those with a cognitive or communication impairment.1,2 Self-report of pain may be obtained by: Self-report is the most reliable source of information on pain. There are two main methods for identifying pain in older people: self-report and observational. If the older person does report pain during the initial screening interview, then further assessment of pain intensity, location, quality and symptoms is needed to guide diagnosis and treatment. If the older person has no pain on admission, record ‘0’ as the pain score and advise them to let staff know if pain develops. Do you have pain/are you aching or hurting every day?.Does your pain/aching ever keep you from participating in activities/doing things you enjoy?.Does pain/aching ever keep you from sleeping at night?.How long have you been in pain/aching/hurting?.Where do you have pain/are you aching or hurting?.Do you have pain/are you aching or hurting anywhere right now?.Behavioural and autonomic signs of pain.