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Colorado State University Veterinary Medical Center Canine Acute Pain Scale Date Time Rescore when awake

Colorado State University Veterinary Medical Center

Canine Acute Pain Scale

Date

Time

Veterinary Medical Center Canine Acute Pain Scale Date Time Rescore when awake Animal is sleeping, but

Rescore when awake

Animal is sleeping, but can be aroused - Not evaluated for painRescore when awake Animal can’t be aroused, check vital signs, assess therapy

Animal can’t be aroused, check vital signs, assess therapyRescore when awake Animal is sleeping, but can be aroused - Not evaluated for pain

Pain Score

Comments

Example

Psychological & Behavioral

Response to Palpation

Body Tension

Comfortable when resting

Comfortable when resting when resting

Happy, contentNot bothering wound or surgery site

Not bothering wound or surgery siteHappy, content

Nontender to palpation of to palpation of

Minimal

Interested in or curious about surroundingswound or surgery site, or to palpation elsewhere

wound or surgery site, or to palpation elsewhere

Content to slightly unsettled or restless Reacts to palpation of wound, surgery site, or other

Content to slightly unsettled or restless or restless

Reacts to palpation of wound, surgery site, or other body part by looking around, flinching, or whimpering of wound, surgery site, or other body part by looking around, flinching, or whimpering

 

Distracted easily by surroundings by surroundings

Mild

Looks uncomfortable when resting

Looks uncomfortable when resting uncomfortable when resting

May whimper or cry and may lick or rub wound or surgery site when unattended whimper or cry and may lick or rub wound or surgery site when unattended

Mild to Moderate

Droopy ears, worried facial expression (arched eye brows, darting eyes) worried facial expression (arched eye brows, darting eyes)

Reluctant to respond when beckoned when beckoned

Flinches, whimpers cries, or guards/pulls awayDroopy ears, worried facial expression (arched eye brows, darting eyes) Reluctant to respond when beckoned Reassess

Reassess

analgesic plan

Not eager to interact with people or surroundings but will look around to see what is going on with people or surroundings but will look around to see what is going on

Unsettled, crying, groaning, biting or chewing wound when unattended May be subtle (shifting eyes or

Unsettled, crying, groaning, biting or chewing wound when unattended wound when unattended

May be subtle (shifting eyes or increased respiratory rate) if dog is too painful to move or subtle (shifting eyes or increased respiratory rate) if dog is too painful to move or is stoic

May be dramatic , such as a sharp cry, growl, bite or bite threat, and/or pulling away dramatic, such as a sharp cry, growl, bite or bite threat, and/or pulling away

Moderate

Guards or protects wound or surgery site by altering weight distribution (i.e., limping, shifting body position) wound or surgery site by altering weight distribution (i.e., limping, shifting body position)

Reassess

analgesic plan

May be unwilling to move all or part of body all or part of body

 

Moderate to

  Cries at non-painful palpation (may be experiencing allodynia, wind-up, or fearful that pain could
 

Cries at non-painful palpation (may be experiencing allodynia, (may be experiencing allodynia,

wind-up, or fearful that pain could be made worse)

May react aggressively to palpationCries at non-painful palpation (may be experiencing allodynia, wind-up, or fearful that pain could be made

Severe

Constantly groaning or screaming when unattended when unattended

May bite or chew at wound, but unlikely to moveConstantly groaning or screaming when unattended Potentially unresponsive to surroundings Difficult to distract from

Potentially unresponsive to surroundings to surroundings

Difficult to distract from pain from pain

May be rigid to avoid painful movement

Reassess

analgesic plan

RIGHT
RIGHT

Tender to palpation

Warm

Tense

LEFT
LEFT