Monitoring changes in pain control

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A huge effort is being put into improving the ways we monitor change in chronic pain state so we can ascertain whether drugs, supplements, and therapies have the effects they suggest. But so far most methods are subject to caregiver placebo effects.
CAM advises the following

Monitoring 5 observations such as ability to lay down, ability to cock leg, stamina, or ability and frequency of…

Posted by Canine Arthritis Management on miĆ©rcoles, 27 de septiembre de 2017

But realise it too will suffer caregiver placebo effect, but feel it is a step in the right direction.
Have people been routinely using the Canine Brief Pain Inventory or the Helsinki Chronic Pain Index? How have they found them? Do practices use other methods?
Thanks

Answered question
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Thank you for this feedback @Lunatuck, I will certainly take this on board and consider including a list of behaviours to observe in the welcome pack sent to owners before a pain clinic visit.

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As an owner I’d appreciate being given the list of behaviours to observe prior to coming to a pain consult. When I am asked about how Luna is in a consulting room I am very good at going blank and have no idea if what I am saying is actually true. If I’d had a chance to complete a questionnaire before coming in the vet is going to get a far more accurate version of the observations as I’d actually make a point of observing her.

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totally agree. I was trying to persuade vets that chronic pain consults should be considered similarly to behavioural consults. We already accept these are long and extensive questioning is required!

Answered question
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Hi,

I think this is an important area of discussion. On my initial asssessment with an animal I will ask about toilet habits; holding the squat, cocking of the leg. Also I will ask about laying position, tail position and willingness to go on walks. These small changes are important to build up an overall picture but often go unnoticed. But they can be vital warning signs. Overall I think lifestyle questions are essential to the management of chronic pain.

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