According to the authors, the numeric tools follows a fast extension using different numeric support as iphone, tablets
and laptop applying distinct software [26-30]. This class of numeric iconic-based forms as IPAT, Pain-QuILT, Pain-QuILT-
2 and the pictogram for breast cancer, allows a continuous and timely assessing and a secure recording of pain profiles on a
numeric database of the profiles with a description of the quality, the intensity and the localization of pain and discomfort.
The second class is dedicated to a holistic approach of describing the discomfort, the general state or the well-being. It
contains COOP/WONCA charts, SLAN and the Interdisciplinary tool to assess pain in chronic pain groups or groups with
intensive physical activities.
The third class allows a specific and accurate description of pain and discomfort in distinct clinical context as ODEON in
ophthalmic clinical context, Questionnaire for pain quality for Down Syndrome people and the Pictogram for gastric
discomfort. Pictorrino is specific to communicate basic and physiologic needs in a transitory situation of inability to
communicate verbally due to surgery in laryngectomized people. The required accuracy in this special class of tool and
their step of development need further studies for a full validation. ODEON and Pictorrino require an adaptation of the
verbal descriptors associated to the icons to English or other languages.
The Iconic tools studied in this review can be applied in Morocco to assessing pain and discomfort in cancer or specific
diseases after some adaptations considering local cultural context.
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