Pain scale

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A pain scale measures a patient's pain intensity or other features. Pain scales are based on trust, cartoons (behavioral), or imaginary data. Self-report is considered primary and should be obtained if possible. Pain measurements help determine the severity, type, and duration of the pain, and are used to make an accurate diagnosis, determine a treatment plan, and evaluate the effectiveness of treatment. Pain scales are available for neonates, infants, children, adolescents, adults, seniors, and persons whose communication is impaired. Pain assessments are often regarded as "the 5th Vital Sign".[1]

Examples of pain scales
Self-report Observational Physiological
Infant Premature Infant Pain Profile; Neonatal/Infant Pain Scale
Child Faces Pain Scale – Revised;[2] Wong-Baker FACES Pain Rating Scale; Coloured Analogue Scale[3] FLACC (Face Legs Arms Cry Consolability Scale); CHEOPS (Children's Hospital of Eastern Ontario Pain Scale)[4] Comfort
Adult Visual Analog Scale (VAS); Verbal Numerical Rating Scale (VNRS); Verbal Descriptor Scale (VDS); Brief Pain Inventory

Partial list of pain measurement scales[edit]

Specialized tests[edit]

Numeric Rating Scale[edit]

The Numeric Rating Scale (NRS-11) is an 11-point scale for patient self-reporting of pain. It is for adults and children 10 years old or older.[39]

Rating Pain Level
0 No Pain
1–3 Mild Pain (nagging, annoying, interfering little with ADLs)
4–6 Moderate Pain (interferes significantly with ADLs)
7–10 Severe Pain (disabling; unable to perform ADLs)

In endometriosis[edit]

The most common pain scale for quantification of endometriosis-related pain is the visual analogue scale (VAS). A review came to the conclusion that VAS and numerical rating scale (NRS) were the best adapted pain scales for pain measurement in endometriosis. For research purposes, and for more detailed pain measurement in clinical practice, the review suggested use of VAS or NRS for each type of typical pain related to endometriosis (dysmenorrhea, deep dyspareunia and non-menstrual chronic pelvic pain), combined with the clinical global impression (CGI) and a quality of life scale.[9]

See also[edit]


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