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Pain scale

Pain scales are tools that can help health care providers diagnose or measure a patients pain's intensity. The most widely used scales are visual, verbal, numerical or some combination of all three forms.

Many pain scales include a use of cartoon faces with different expressions. These are often useful when used with children.

In 1999, the Veteran's Administration adopted the slogan "Pain is the fifth vital sign", and encouraged greater use of pain scales in initial diagnoses.

One of the most common pain scales is the Wong-Baker Faces Pain Rating Scale. The Wong-Baker scale goes from 0 to 5:

Not all scales are measured on a single axis. For example, the "Brief Pain Inventory" is performed in interview form to identify how pain affects different aspects of the patient's life.


Incomplete list of pain measurement scales

  • Visual analog scale (VAS)[1]
  • McGill Pain Questionnaire (MPQ)[2]
  • DDS[3]
  • Faces Pain Scale (FPS)[4][5]
  • Pediatric Pain Questionnaire (PPQ)
  • Faces Pain Scale - Revised (FPS-R) (Hicks, C., scale is from 1-10)
  • Faces, Legs, Activity, Cry, Consolability (FLACC)
  • Premature Infant Pain Profile (PIPP)
  • Numerical 11 point box (BS-11)[6]
  • 10 and 21 point scales[7]
  • Schmidt Sting Pain Index
  • Starr sting pain scale
  • Verbal Rating Scale (VRS)
  • Simple Descriptive Pain Scale (SDS)
  • Wong-Baker Pain Faces Rating Scale (PFS)[8]
  • Numerical Pain Scale (NPS)
  • Numeric Rating Scale (NRS-11)[9]
  • Eland Scale
  • Modified Eland Scale
  • Cube Test
  • Faces Scale
  • Modified Faces Scale
  • Brief Pain Inventory (BPI)
  • Mankowski Pain Scale (SKIP), from 0 to 10
  • Dolorimeter Pain Index (DPI)
  • The Walid-Robinson Index (WRI) = Pain intensity upon admission (from 0 to 10) X Length of pain suffering (in months)


  1. ^ Huskisson EC. Measurement of pain. J Rheumatol 1982; 9:768-769.
  2. ^ Melzack R. The McGill pain questionnaire: major properties and scoring method. Pain 1975; 1:277-299.
  3. ^ Measurement of pain., Katz J, Melzack R. , Surg Clin North Am. 1999 Apr;79(2):231-52. PMID: 10352653
  4. ^ The Faces Pain Scale - Revised (English, French and twenty-four other languages), Carl L von Baeyer, August 2005.
  5. ^ Bieri D, Reeve R, Champion GD, Addicoat L and Ziegler J. The Faces Pain Scale for the self-assessment of the severity of pain experienced by children: Development, initial validation and preliminary investigation for ratio scale properties. Pain 1990;41:139-150.
  6. ^ Jensen MP, Karoly P, O’Riordan EF, Bland F Jr & Burns RS (1989) The subjective experience of acute pain. An assessment of the utility of 10 indices. Clin J Pain 5: 153–159.
  7. ^ Jensen MP, Turner JA & Romano JM (1994) What is the maximum number of levels needed in pain intensity measurement? Pain 58: 387–392.
  8. ^ Wong DL, Baker C. Pain in children: comparison of assessment scales. Pediatr Nurs 1988;14:9-17.
  9. ^ The Numeric Rating Scale for Clinical Pain Measurement: A Ratio Measure?, Craig T. Hartrick, Juliann P. Kovan, Sharon Shapiro, Pain Practice 3 (4), 310–316 doi:10.1111/j.1530-7085.2003.03034.x, Dec. 2003

See also

External links

  • Wong scale
  • Mankoski scale
  • Example of scale
  • Herr K, Mobily P, Kohout F, Wagenaar D (1998). "Evaluation of the Faces Pain Scale for use with the elderly.". Clin J Pain 14 (1): 29-38. PMID 9535311.
  • VA -- 'pain as the fifth vital sign'
  • Cleeland C, Ryan K (1994). "Pain assessment: global use of the Brief Pain Inventory.". Ann Acad Med Singapore 23 (2): 129-38. PMID 8080219.
  • A COMPARATIVE STUDY OF PAIN MEASUREMENT SCALES IN ACUTE BURN PATIENTS, Shailaja S. Jaywant, Anuradha V. Pai, The Indian Journal of Occupational Therapy : Vol. XXXV : No. 3, Dec. - March 2003-04.
  • MS Walid, LA Hyer, M Ajjan, JS Robinson: Predicting Opioid-Dependence Using Pain Intensity And Length Of Pain Suffering In Pre-Spine-Surgery Patients. The Internet Journal of Pain, Symptom Control and Palliative Care, 2007, Vol 7, № 1. [1]
This article is licensed under the GNU Free Documentation License. It uses material from the Wikipedia article "Pain_scale". A list of authors is available in Wikipedia.
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