Use our readymade template to create your Behavioral Pain Scale (BPS) for assessing pain in adult patients
Create your care assessments
| BPS score | Pain Severity | Proposed treatment |
|---|---|---|
| 3-4 | No pain | May not need treatment |
| 5-6 | Mild pain | Consider pain management |
| 7-11 | Unacceptable amount of pain | Active treatment |
| 12 | Maximum pain | Immediate initiation |
- Prebuilt template with BPS scoring to assess the presence of pain and measure its severity
- 3-item questionnaire that scores each of the 3 criteria as “1” (no pain) to “4” (maximum pain)
- Real-time calculation of BPS Score and pain severity based on the form responses
- Collect patient data and other sensitive healthcare data using our HIPAA compliant online assessment forms
- Compare the scores from the initial screening with that of the followup to track the progression of pain
- Easily create responsive forms that allow patients to complete their assessments on any device at any time
Collect responses from your patients
| Patient ID | 1005 |
| Patient Name | Jane Doe |
| Patient Email | jane.doe@ymail.com |
| Patient Phone Number | 0987654321 |
| Doctor's Name | Dr. Smith |
| Location | New York |
| Facial expression | Grimacing |
| Upper limb movements | Fully bent with finger flexion |
| Compliance with mechanical ventilation | Fighting ventilator |
| BPS score | 10 |
| Level of Pain | Unacceptable amount of pain |
- Pre-populate patient details such as patient id, name, email etc in the BPS assessment form before sharing it with the patients
- Send an email invitation with a secure link for patients to complete their BPS assessment form prior to their visit
- Allow patients to save their progress and complete their BPS assessment form at a later time without losing any responses
- Set up an email template for your BPS assessment and automatically send invitation emails to multiple patients with ease
- Send a confirmation email to the patients with their BPS score, diagnosis, next steps when they submit their BPS assessment
Track patient responses in Google Sheets
| A | B | C | D | E | |
|---|---|---|---|---|---|
| 1 | Name | Question | Answer | Score | Total Score |
| 2 | Jane Doe | Facial expression | Grimacing | 4 | 10 |
| 3 | Jane Doe | Upper limb movements | Fully bent with finger flexion | 3 | 10 |
| 4 | Jane Doe | Compliance with mechanical ventilation | Fighting ventilator | 3 | 10 |
- Export patient responses including the calculated BPS score and pain severity to Google Sheets for easy record-keeping
- Export individual points for 3 criteria to Google Sheets for data manipulation and analysis for comprehensive insights
- Use pre-built reports to easily keep track of patient progress over time and monitor changes in their pain symptoms
- Receive a copy of the response and the calculated BPS score by email whenever a patient submits their BPS assessment
- Use data in Google Sheets to integrate with external EHR systems for seamless data transfer
HIPAA compliance
| Patient ID: | 1005 |
| Patient Name: | ****** |
| Patient Email: | ****** |
| Patient Phone Number: | ****** |
| Doctor's Name: | Dr. Smith |
| Location: | New York |
| Facial expression: | Grimacing |
| Upper limb movements: | Fully bent with finger flexion |
| Compliance with mechanical ventilation: | Fighting ventilator |
| BPS score: | 10 |
| Level of Pain: | Unacceptable amount of pain |
| BPS score: | 10 |
| Level of Pain: | Unacceptable amount of pain |
- Create a HIPAA compliant BPS assessment form to safely collect, store and access patient responses
- Mark fields as Protected Health Information (PHI) to secure sensitive patient data and limit access to PHI
- Automatically mask PHI fields when exporting BPS form responses to Google Sheets and sending them on email
- Prepopulate patient details in BPS assessments by creating secure prefill links without exposing PHI
- Limit access to patient data only for authorized personnel and minimize the risk of data breaches
These reviews are reproduced without modification from Google Workspace Marketplace.
July 27, 2023
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July 23, 2023
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February 16, 2024
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October 31, 2023
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November 27, 2023
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