All About Nursing · Hospice & Palliative Care

A Review on Pain Scales

  1. PAINAD
    • Is used when the patient’s verbal responses might be unreliable because of a dementia diagnosis.
    • Assesses the patients breathing, vocalization, facial expression, body language, and consolability (0-2 each)
    • The scale describes 0 as no pain and 10 as severe pain.
  2. PQRST – a pain scale but not for dementia patients
    • P stands for provokes
    • Q stands for quality
    • R stands for radiates
    • S stands for severity
    • T stands for time.
  3. OLD CART stands for Onset, Location, Duration, Characteristics, Aggravating factors, Relieving factors, and Treatment.
  4. CHIPPS – pain scale for infants and children

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