Template:Oswestry: Difference between revisions
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|colspan="2"|I have no social life because of pain ย | |colspan="2"|I have no social life because of pain ย | ||
|<html><input class="start-item" name="eight" type="radio" id="q8-5" value="50" onclick="window.startScore(this);" /></html> | |<html><input class="start-item" name="eight" type="radio" id="q8-5" value="50" onclick="window.startScore(this);" /></html> | ||
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!colspan="3"|9. TRAVELLING | |||
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|colspan="2"|I can travel anywhere without extra pain | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-0" value="0" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|I can travel anywhere but it gives me extra pain | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-1" value="10" onclick="window.startScore(this);" /></html> | |||
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|colspan="2"|Pain is bad, but I manage journeys over 2 hours | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-2" value="20" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain restricts me to journeys of less than 1 hour | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-3" value="30" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain restricts me to short necessary journeys under 30 minutes | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-4" value="40" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain prevents me from traveling except to the doctor or hospital | |||
|<html><input class="start-item" name="nine" type="radio" id="q9-5" value="50" onclick="window.startScore(this);" /></html> | |||
|- | |||
!colspan="3"|10. EMPLOYMENT/HOMEMAKING | |||
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|colspan="2"|My normal homemaking/ job activities do not cause pain | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-0" value="0" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|My normal homemaking/ job activities increase my pain, but I can still perform all that is required of me | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-1" value="10" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"| I can perform most of my homemaking/ job duties, but pain prevents me from performing more physically stressful activities (e.g. lifting, vacuuming) | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-2" value="20" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain prevents me from doing anything but light duties. | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-3" value="30" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain prevents me from doing even light duties. | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-4" value="40" onclick="window.startScore(this);" /></html> | |||
|- | |||
|colspan="2"|Pain prevents me from performing any job or homemaking chores | |||
|<html><input class="start-item" name="ten" type="radio" id="q10-5" value="50" onclick="window.startScore(this);" /></html> | |||
|- | |- | ||
! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">No disability</span></div><div><span class="score">Score: 0</span></div></div> | ! colspan="3" |<div style="display:flex; flex-direction:row; justify-content:space-around;"><div>Result</div><div><span class="interpretation" style="color: green;">No disability</span></div><div><span class="score">Score: 0</span></div></div> |
Revision as of 08:22, 10 April 2022
1. PAIN INTENSITY | ||
---|---|---|
I can tolerate the pain I have without having to use pain killers | ||
The pain is bad but I manage without taking pain killers | ||
Pain killers give complete relief from pain | ||
Pain killers give moderate relief from pain | ||
Pain killers give very little relief from pain | ||
Pain killers have no effect on the pain and I do not use them | ||
2. PERSONAL CARE (e.g. Washing, Dressing) | ||
I can look after myself normally without causing extra pain | ||
I can look after myself normally but it causes extra pain | ||
It is painful to look after myself and I am slow and careful | ||
I need some help but manage most of my personal care | ||
I need help every day in most aspects of self care | ||
I donโt get dressed, I was with difficulty and stay in bed | ||
3. LIFTING | ||
I can lift heavy weights without extra pain | ||
I can lift heavy weights but it gives extra pain | ||
Pain prevents me from lifting heavy weights off the floor, but I can manage if they are conveniently positioned, i.e. on a table | ||
Pain prevents me from lifting heavy weights, but I can manage light to medium weights if they are conveniently positioned | ||
I can lift very light weights | ||
I cannot lift or carry anything at all | ||
4. WALKING | ||
Pain does not prevent me walking any distance | ||
Pain prevents me walking more than one mile | ||
Pain prevents me walking more than ยฝ mile | ||
Pain prevents me walking more than ยผ mile | ||
I can only walk using a stick or crutches | ||
I am in bed most of the time and have to crawl to the toilet | ||
5. SITTING | ||
I can sit in any chair as long as I like | ||
I can only sit in my favourite chair as long as I like | ||
Pain prevents me from sitting more than one hour | ||
Pain prevents me from sitting more than ยฝ hour | ||
Pain prevents me from sitting more than 10 minutes | ||
Pain prevents me from sitting at all | ||
6. STANDING | ||
I can stand as long as I want without extra pain | ||
I can stand as long as I want but it gives me extra pain | ||
Pain prevents me from standing for more than one hour | ||
Pain prevents me from standing for more than 30 minutes | ||
Pain prevents me from standing for more than 10 minutes | ||
Pain prevents me from standing at all | ||
7. SLEEPING | ||
Pain does not prevent me from sleeping well | ||
I can sleep well only by using medication | ||
Even when I take medication, I have less than 6 hrs sleep | ||
Even when I take medication, I have less than 4 hrs sleep | ||
Even when I take medication, I have less than 2 hrs sleep | ||
Pain prevents me from sleeping at all | ||
8. SOCIAL LIFE | ||
My social life is normal and gives me no extra pain | ||
My social life is normal but increases the degree of pain | ||
Pain has no significant effect on my social life apart from limiting my more energetic interests, i.e. dancing, etc. | ||
Pain has restricted my social life and I do not go out as often | ||
Pain has restricted my social life to my home | ||
I have no social life because of pain | ||
9. TRAVELLING | ||
I can travel anywhere without extra pain | ||
I can travel anywhere but it gives me extra pain | ||
Pain is bad, but I manage journeys over 2 hours | ||
Pain restricts me to journeys of less than 1 hour | ||
Pain restricts me to short necessary journeys under 30 minutes | ||
Pain prevents me from traveling except to the doctor or hospital | ||
10. EMPLOYMENT/HOMEMAKING | ||
My normal homemaking/ job activities do not cause pain | ||
My normal homemaking/ job activities increase my pain, but I can still perform all that is required of me | ||
I can perform most of my homemaking/ job duties, but pain prevents me from performing more physically stressful activities (e.g. lifting, vacuuming) | ||
Pain prevents me from doing anything but light duties. | ||
Pain prevents me from doing even light duties. | ||
Pain prevents me from performing any job or homemaking chores | ||
Result No disability Score: 0 |