0 Absence of discomfort
1 Mild pain. Under your conscious radar. Does not interfere with
ability to concentrate or perform activities.
2 Discomforting pain. You are periodically aware of discomfort, which
subsides with rest, distraction (pleasant activity, music, conversation),
change of position, etc.
3 Tolerable, yet annoying pain. NOW is the time to treat with
medication in conjunction with comfort measures. Allows best opportunity for
effective pain control with the least medication.
4 Pain has your full attention now. "Why didn't I initiate comfort
measures and medication sooner?"
5 Moderate pain. Constant, sometimes nauseating pain. Lack of
appetite, difficulty concentrating. Begin to isolate self from noise, activity.
6 Grueling, numbing pain. Body tense. Nausea, intolerance for cold,
noise and activity increase, mood sinks and increased withdrawal. "Leave me
7 Miserable, agonizing, gnawing pain. "When is SOMETHING going to
8 Horrible, vicious pain. Jaws clenched, respirations rapid &
shallow. "WHY isn't anything helping?"
9 Consumed by torturing, crushing unbearable pain. "Get me help NOW!"
10 Physiologically intolerable pain. Loss of consciousness.