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    Vas

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    adil
    This document provides instructions for using different pain rating scales, including the visual analogue scale (VAS), numerical rating scale (NRS), and faces rating scale (FRS) for self-reported pain. It also describes the behavioral pain assessment scale for nonverbal patients. All patients should have their functional activity level scored in addition to a primary pain scale. The scales are used to numerically quantify a patient's pain level from 0-10, with 0 being no pain and 10 being the worst possible pain.

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    Vas

    Uploaded by

    adil
    71 views4 pages
    This document provides instructions for using different pain rating scales, including the visual analogue scale (VAS), numerical rating scale (NRS), and faces rating scale (FRS) for self-reported pain. It also describes the behavioral pain assessment scale for nonverbal patients. All patients should have their functional activity level scored in addition to a primary pain scale. The scales are used to numerically quantify a patient's pain level from 0-10, with 0 being no pain and 10 being the worst possible pain.

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    Visual analog scale

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    This document provides instructions for using different pain rating scales, including the visual analogue scale (VAS), numerical rating scale (NRS), and faces rating scale (FRS) for self-reported pain. It also describes the behavioral pain assessment scale for nonverbal patients. All patients should have their functional activity level scored in addition to a primary pain scale. The scales are used to numerically quantify a patient's pain level from 0-10, with 0 being no pain and 10 being the worst possible pain.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    71 views4 pages

    Vas

    Uploaded by

    adil
    This document provides instructions for using different pain rating scales, including the visual analogue scale (VAS), numerical rating scale (NRS), and faces rating scale (FRS) for self-reported pain. It also describes the behavioral pain assessment scale for nonverbal patients. All patients should have their functional activity level scored in addition to a primary pain scale. The scales are used to numerically quantify a patient's pain level from 0-10, with 0 being no pain and 10 being the worst possible pain.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    of 4

    Visual Analogue Scale (VAS)

    Instructions for producing a VAS Bedside card:

    OPTION 1
     Double-sided print or photocopy the next 2 diagrams ensuring that the lines are
    exactly 10 cm in length and superimposed
     Laminate the VAS Bedside card for patient use

    PLEASE NOTE: For purposes of double-sided print, the numbers on this


    scale are reversed.
    OPTION 2
     Print or photocopy the next 2 diagrams on an A4 sheet ensuring that the lines
    are exactly 10 cm in length
     Fold at the dotted line
     Do not show the patient the numbered scale

    Numerical rating scale (NRS)

    Faces rating scale (FRS)


    Behavioral rating scale

    For patients unable to provide a self-report of pain: scored 0-10 clinical observation
    Face 0 1 2 Face score:
    Face muscles Facial muscle Frequent to constant
    relaxed tension, frown, frown, clenched jaw
    grimace
    Restlessness 0 1 2 Restlessness
    Quiet, relaxed Occasional Frequent restless score:
    appearance, restless movement may
    normal movement, include extremities or Functional
    movement shifting position head
    Muscle tone* 0 1 2 Muscle tone
    activity score#
    (Cough/movement)
    Normal muscle Increased tone, Rigid tone score:
    A – No limitation
    tone flexion of
    B – Mild limitation
    fingers and
    C – Severe limitation
    toes #
    Relative to baseline
    Vocalization** 0 1 2 Vocalization
    No abnormal Occasional Frequent or score:
    sounds moans, cries, continuous moans,
    whimpers and cries, whimpers or
    grunts grunts
    Consolability 0 1 2 Consolability
    Content, Reassured by Difficult to comfort by score:
    relaxed touch, touch or talk
    distractible
    Behavioral pain assessment scale total (0-10) /10

    * Assess muscle tone in patients with spinal cord lesion or injury at a level above the lesion
    injury. Assess patients with hemiplegia on the unaffected side.
    ** This item cannot be measured in patients with artificial airways.
    Pain rating scales instructions

    Subjective pain score

    All patients are to have a functional activity score recorded in addition to the chosen
    subjective score.

    Visual analogue scale (VAS)

    Instruct the patient to point to the position on the line between the faces to indicate
    how much pain they are currently feeling. The far left end indicates "no pain" and the
    far right end indicates "worst pain ever."

    Numerical rating scale (NRS)

    Instruct the patient to choose a number from 0 to 10 that best describes their current
    pain. 0 would mean "no pain" and 10 would mean "worst possible pain."

    Faces rating scale (FRS)

    Adults who have difficulty using the numbers on the visual/numerical rating scales can
    be assisted with the use of the 6 facial expressions suggesting various pain intensities.
    Ask the patient to choose the face that best describes how they feel. The far left face
    indicates "no hurt" and the far right face indicates "hurts worst." Document number
    below the face chosen.

    Behavioral rating scale

    The behavioral pain assessment scale is designed for use with nonverbal patients
    unable to provide self-reports of pain.

     Rate each of the 5 measurement categories (0, 1, or 2).


     Add these together.
     Document the total pain score out of 10.

    Functional activity score


    This is an activity-related score. Ask your patient to perform an activity related to
    their painful area (for example, deep breathe and cough for thoracic injury or move
    affected leg for lower limb pain).

    Observe your patient during the chosen activity and score A, B, or C.

    A – No limitation meaning the patient’s activity is unrestricted by pain


    B – Mild limitation means the patient’s activity is mild to moderately restricted by pain
    C - Severe limitation means the patient ability to perform the activity is severely
    limited by pain

    *Relative to baseline refers to any restriction above any preexisting condition the
    patient may already have.

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