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Canine Pain Assessment
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This questionnaire contains 11 questions relating to the behavior and locomotion of your dog.  Although there is no common standard for measuring the chronic pain of osteoarthritis in dogs, this questionnaire has been developed to help you and your veterinarian better evaluate the level of pain your dog may be experiencing.

Answer each question on a scale of 0 to 4.  A ration of 0 or 1 represents an apparently normal level of behavior or locomotion.  A ration of 2, 3, or 4 suggests the presence of osteoarthritis pain, with 4 representing the greatest level of osteoarthritis correlation. 

It is important to work closely with your veterinarian in obtaining the chronic osteoarthritis index score.  For the most thorough results, your veterinarian should evaluate walking, trotting, and running.  You (the pet owner) should evaluate the remaining index variable.  As you continue to work closely with your veterinarian, you will also learn how to correctly identify possible pain at the walk, trot, or run.  You will know your pet's behavior best as you will  bee able to observe him/her on a day-to-day basis.  However, working closely with your veterinarian will help you identify subtle changes in your dog and the team approach will ensure the most accurate assessment of your dog.
Contact Information:
First Name:Last Name:
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Animal Name:
Circle the index score that best represents your dog's behavior or locomotion.
Rate your dog's mood.
Rate your dog's willingness to participate in play.
Rate your dog's vocalization (audible complaining such as whining or crying out).
Rate your dog's willingness to walk.
Rate your dog's willingness to trot.
Rate your dog's willingness to run.
Rate your dog's willingness to jump.
Rate your dog's ease in lying down.
Rate your dog's ease in rising from lying down.
Rate your dog's ease of movement after a long rest.
Rate your dog's ease of movement after major activity or heavy exercise.

Total up the answers to all questions
Your pet's range
Your pet's doctor
Would you like us to follow up with you about treatment options for your pet?

 

0 to 5 represent dogs with minimal clinical signs of pain. 

12 to 35 represent dogs with chronic conditions. 

6 to 11 index score range represent cases in a gray area that may or may not have clinical signs of osteoarthritis and associated pain.


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