how to ask patient for pain scale score correctly?

  1. 0 well,actually in our center pain scale score just been practiced and i'm still a young baby in getting pain scale score..and i even do not know / not confident in asking patient that in pain for their pain score.sometimes i get scolded because of asking for 'how much pain does he/she suffered'...

    can you'll guys give me some 'nice' way of getting pain scale score?because i know you'll expert in this..
    thanx!
  2. Visit  7feetunder profile page

    About 7feetunder

    From 'Kuala Lumpur, Kuala Lumpur, MY'; Joined Aug '12; Posts: 54; Likes: 39.

    56 Comments so far...

  3. Visit  cec726 profile page
    0
    I just say "what would you rate your pain right now 0-10, 10 being the worst pain you have ever experienced." Pain is what the patient says it is, so even if they are laughing and joking and say their pain is a 10, I document it as a 10.
  4. Visit  brainkandy87 profile page
    2
    I ask them: What's your pain, 0-10? Zero is no pain at all, ten is you're about to die.

    If they say "twelve" or something that's not 0-10, I tell them I need a number 0-10. I can be such a richardhead sometimes. *shrug*
    maelstrom143 and aboucherrn like this.
  5. Visit  hiddencatRN profile page
    0
    Quote from 7feetunder

    can you'll guys give me some 'nice' way of getting pain scale score?because i know you'll expert in this..
    thanx!
    .......


    "Scale of 1-10, 10 is the worst pain ever and 0 is no pain, how are you feeling right now?"

    How is asking the patient to quantify pain not nice?
  6. Visit  NO50FRANNY profile page
    0
    I go with the analogy- "If 10/10 pain is being burned alive and 1/10 is a mild headache what number are you at right now?".
  7. Visit  TheSquire profile page
    0
    My personal script is "Sir/ma'am, could you please rate your pain for me on a scale from 0-10, where 0 is no pain and 10 is the worst pain in the history of the world."

    Also, this XKCD comic is relevant.
  8. Visit  7feetunder profile page
    0
    Quote from brainkandy87
    I ask them: What's your pain, 0-10? Zero is no pain at all, ten is you're about to die.

    If they say "twelve" or something that's not 0-10, I tell them I need a number 0-10. I can be such a richardhead sometimes. *shrug*
    haha..i feel funny... :>
    but thanx
  9. Visit  7feetunder profile page
    0
    Quote from hiddencatRN
    .......


    "Scale of 1-10, 10 is the worst pain ever and 0 is no pain, how are you feeling right now?"

    How is asking the patient to quantify pain not nice?

    well,you know sometimes there's kind of patient felt uneasy being questioned for the pain score.
    sometimes i get scolded because asking for score.
  10. Visit  TheSquire profile page
    0
    Quote from 7feetunder
    well,you know sometimes there's kind of patient felt uneasy being questioned for the pain score.
    sometimes i get scolded because asking for score.
    Blame it on hospital policy - that way it's not your fault anymore :-D
  11. Visit  abiklags profile page
    1
    I asked "can you please rate your pain for me? if 0 was no pain and 10 the worst you ever had, where would you put your pain right now?"

    our clinical site has pain rating charts in each room velcro'ed with other lang's (Mandarin and Russian I think) on it, as well as the Wang-Baker Faces pain scale. I once pulled it off for a mildly demented patient because she could not answer 0-10. She pointed to the appropriate face and I put it back on the wall.
    7feetunder likes this.
  12. Visit  kabfighter profile page
    0
    Quote from NO50FRANNY
    I go with the analogy- "If 10/10 pain is being burned alive and 1/10 is a mild headache what number are you at right now?".
    The example I use for a 10 is having each limb tied to a horse, all of which are running full speed away from you.

    Some people don't seem to get the pain scale. Many times I'll ask for a number, and they'll respond with 'it's not too bad' (which is not a number). I'll throw a few numbers out and record the one they choose. No matter what the answer is, I ask whether it's bad enough that they would like medication for it (some want morphine at 1, others are fine at 8).

    For the asking part, I say something similar to what everyone else has already posted. If a patient has been consistently not in pain, I'll first ask whether they're in any pain at all, then ask them for a number if they are. I often have to clarify that aches are considered pain, particularly in older patients.
  13. Visit  malestunurse profile page
    2
    I know it is suppose to be for children but wouldn't the Wong-Baker pain scale faces be of use if you were having trouble getting a number from them?
    7feetunder and wannabecnl like this.
  14. Visit  tewdles profile page
    2
    If the patient is cognitively able you assess for a numeric level of pain...1/10. If they are not able to quantify using a number you may use the faces or you may use other verbage; like quantifying it by "a little pain" (1-3) "moderate pain" (4-6) or "a lot of pain" (7-10). As well there are tools, like the PAINAD, for use with adult patients who are unable to verbalize their level of discomfort.

    In my line of work it is also important to document the type of pain (ie: visceral vs. neuropathy for instance), the location, the frequency and duration of the pain, and the history of pain (is this new or chronic?). Additionally, for patients who can speak to us, who are cognitively intact, it is important to understand what their goals are relative to discomfort. What level of pain is acceptable to them? In the hospice setting we will treat the pain of a patient at 4 or higher UNLESS the patient has identified a different goal or target for the POC.

    Sometimes elderly patients do not equate "aches" with "pain". Sometimes we can see evidence of discomfort but the patient is saying "no". When we change our language we can occasionally get to a better understanding of the patients experience with pain.

    Pain is on the radar for most health care settings, so documentation is a VERY IMPORTANT piece of your role.

    Good luck.
    7feetunder and AmyinNC05 like this.


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