[Verse 1] When sleep eludes the elder in the midnight hour, We reach for structured measures with clinical power, The Insomnia Severity Index, seven questions scored, From zero up to twenty-eight, severity explored, Zero through seven, normal rest we find, Eight to fourteen, subthreshold trouble of the mind, Fifteen to twenty-one, moderate insomnia reigns, Above that threshold, severe disruption remains. [Chorus] ISI and Epworth, PAINAD for the pain, WHOQOL-OLD for quality, UCLA for lonely strain, De Jong Gierveld for the solitude that settles in the chest, Seven scales to measure what diminishes and what's blessed, Sing the tools of geropsychology, commit them to your craft, ISI, Epworth, PAINAD — front to aft. [Verse 2] The Epworth Sleepiness Scale surveys the dozing chance, Eight situations rated, likelihood to trance, Sitting reading, watching television's glow, Riding as a passenger, how likely to go slow, Scores above ten signal daytime sleepiness profound, A sentinel for apnea hiding underground, Pair it with the ISI to triangulate the night, Two instruments converging on the picture of the plight. [Chorus] ISI and Epworth, PAINAD for the pain, WHOQOL-OLD for quality, UCLA for lonely strain, De Jong Gierveld for the solitude that settles in the chest, Seven scales to measure what diminishes and what's blessed, Sing the tools of geropsychology, commit them to your craft, ISI, Epworth, PAINAD — front to aft. [Verse 3] When dementia steals the language, pain still carves its mark, PAINAD observes the breathing, vocals, face, and dark Body language, consolability — five domains assessed, Zero means no suffering, ten means deeply stressed, Observe the furrowed brow, the rigid guarding frame, Behavior as vocabulary when speech cannot proclaim, For the cognitively impaired elder, advocacy begins With witnessing the body where articulation thins. [Bridge] Now the WHOQOL-OLD extends the broader lens, Sensory, autonomy, past and future blends, Social participation, intimacy, death's nearness weighed, Six facets of existence, nothing left in shade, UCLA Loneliness Scale, twenty items strong, Asks how often someone feels they don't belong, De Jong Gierveld distinguishes the emotional strand From the social — two species mapped by one diagnostic hand. [Verse 4] Emotional loneliness aches for intimate connection lost, Social loneliness counts the absent network at its cost, De Jong Gierveld's six items capture both the grain, Eleven-item versions widen still the terrain, Older adults bear disproportionate measures of each kind, Bereavement, retirement, mobility confined, So clinicians armed with scales become the careful scribes Of suffering that numbers help the treatment to describe.
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