ASSESSMENT - PAIN EKG - Q
Quality of Life

  • Effect on activities of daily living (ADLs) (e.g., at work, at home)
  • Effect on relations (e.g., spouse, family, friends, co-workers)
  • Effect on sexual activities
Quality of Life Scale (The higher the bullet number the higher the QoL): 
  1. Stays in bed all day.  Feels hopeless and helpless about life.    
  2. Stays in bed at least half the day.  Has no contact with outside world.
  3. Gets out of bed but doesn’t get dressed.  Stays at home all day.
  4. Gets dressed in the morning. Minimal activities at home. Contact with friends via phone, email.
  5. Does simple chores around the house.  Minimal activities outside of home two days a week.
  6. Struggles but fulfill daily home responsibilities.  No outside activity.  Not able to work/volunteer.
  7. Works/volunteers limited hours.  Takes part in limited social activities on weekends.
  8. Works/volunteers for a few hours daily.  Can be active at least five hours a day.  Can make plans to do simple activities on weekends.
  9. Works/volunteers for at least six hours daily.  Has energy to make plans for one evening social activity during the week.
  10. Works/volunteers/is active eight hours daily.  Takes part in family life.  Outside social activities limited.
  11. Goes to work/volunteer each day.  Normal daily activities each day.  Has a social life outside of work.  Takes an active part in family life.