Questt
Pain Rating Scales
Apgar
100

Q

Question the child
100

Typically used in children 3-8 years of age.  

FACES Pain Rating Scale. 


pg 1252

100

A

Appearance (color)

200

U

Use a reliable and valid pain scale

200

This scale is useful for self-reporting of pain in children between 3 and 12 years of age.

Oucher Pain Rating Scale.  Similar to the faces scale but instead of illustrations, six photographs are used.  "No hurt" is placed at the bottom and "most hurt" at the top.
200

P

Pulse (heart rate)

300

E

Evaluate the child's behavior and physiologic changes to establish baseline and determine effectiveness of the intervention

300

This tool is useful for assessing pain in preschool age children and can be used in children 3 to 18 years of age.

Poker Chip Tool.  The tool uses four red poker chips to quantify the child's level of pain.  The chips are arranged in a horizontal line on a surface in front of the child.  Starting with the chip closest to the childs left side the nurse explains that the first chip means a little hurt and so on.

pg 1253

300

G

Grimace (reflex irritability)

400

S

Secure the parent's involvement

400

This pain scale can be used with children 8 years or older.

Visual analog and numeric scales.  This involves a horizontal or vertical line with marked endpoints.



Pg 1253

400

A

Activity (muscle tone)

500

T

Take the cause of pain into account when intervening

500

This tool is a multidimensional self report type for older children usually between 8 and 17 years old.

Adolescent pediatric pain tool.  The tool involves three aspects of assessment.  The fist assessment the child identifies the location of pain on tow illustrations of the body (front and back) and is instructed to color the areas where they are hurting. Next the child is asked to range the pain from no pain to worst pain possible.  The third assessment is a list of words that may be used to describe the pain.

500

R

Respiratory (respiratory effort)

600

T

Take action

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