Geriatrics Pain Measure
The Geriatric Pain Measure (GPM) was developed for multidimensional pain evaluation in the elderly, being easy to apply and understand.
A significant proportion of the elderly population suffers from chronic chronic pain, being that its prevalence among community elderly may vary from 25 to 50%. A practical guide for chronic pain in the elderly was developed and updated by the American Society of Geriatrics (1998 and 2002) and recommends that multidimensional tools should be used to evaluate pain quantification and approach in the elderly in a multidimensional manner and that they are culturally adapted for countries with languages different from English.
Method of Use
GMP is a 24-item questionnaire that is easy to administer and has significant validity and reliability in older persons with multiple medical problems. It addresses pain multidimensions, such as intensity (items 13, 17, 19, 20-23), “disengagement” (items 9-12, 15, 18, 24), pain at ambulation (items 4-7), pain at vigorous activities (items1-3) and pain during other activities (items 8, 13-16), involving sensory-discriminating, motivational-affective and cognitive-evaluative dimensions of pain, described by Melzack and Katz. See here for the questionnaire.
Validity and Reliability
GPM demonstrated a concurrent validity in comparison with the McGill Pain Questionnaire. Test-retest reliability was done to support the reliability of the measure. it has been noted to easy to administer and has significant validity and reliability in older persons with multiple medical problem
- Motta TS, Gambaro RC, Santos FC. Pain measurement in the elderly: evaluation of psychometric properties of the Geriatric Pain Measure-Portuguese version. Revista Dor. 2015 Jun;16(2):136-41.
- American Geriatrics Society. Pharmacological Management of Persistent Pain in Older Persons. JAGS. 2009; 57:1331–1346. Accessed 6 April 2020.
- Ferrell BA, Stein WM, Beck JC. The Geriatric Pain Measure: validity, reliability and factor analysis. Journal of the American Geriatrics Society. 2000 Dec;48(12):1669-73.
- Ferrell BA, Stein WM, Beck JC,. The Geriatric Pain Measure: validity, reliability and factor analysis. Journal of the American Geriatrics Society. 2000 Dec;48(12):1669-73.