Page 194 - BSAVA Guide to Pain Management in Small Animal Practice

1 | Pain scales

VetBooks.ir Colorado Canine Acute Pain Scale

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Canine Acute Pain Scale

Animal is sleeping, but can be aroused - Not evaluated for pain
Rescore when awake
Animal can’t be aroused, check vital signs, assess therapy
Pain Score Example Psychological & Behavioral Response to Palpation Body Tension
0
Comfortable when resting Nontender to palpation of
Happy, content wound or surgery site, or to Minimal
N ot bothering wound or surgery site palpation elsewhere
Interested in or curious about surroundings

1 Content to slightly unsettled or restless Reacts to palpation of wound,
surgery site, or other body part
D istracted easily by surroundings by looking around, flinching, or Mild
whimpering
L ooks uncomfortable when resting
May whimper or cry and may lick or rub
wound or surgery site when unattended Mild to Moderate
2 Droopy ears, worried facial ex pression F linches, whimpers cries, or Reassess
(arched eye brows, darting eyes)
guards/ pulls away
Reluctant to respond when beckoned analgesic plan
Not eager to interact with people or surroundings
but will look around to see what is going on
U nsettled, crying, groaning, biting or May be subtle (shifting eyes or
chewing wound when unattended increased respiratory rate) if dog Moderate
Guards or protects wound or surgery site by is too painful to move or is stoic Reassess
3 altering weight distribution (i. e. , limping, May be dramatic, such as a analgesic plan
sharp cry, growl, bite or bite
shifting body position)
threat, and/ or pulling away
May be unwilling to move all or part of body
Constantly groaning or screaming when Cries at non-painful palpation Moderate to
Severe
unattended (may be experiencing allodynia,
May bite or chew at wound, but unlikely to May be rigid to
avoid painful
move wind-up, or fearful that pain movement
could be made worse)
Potentially unresponsive to surroundings May react aggressively to palpation Reassess
4 D ifficult to distract from pain analgesic plan
Tender to palpation
Warm
Tense
RIGHT LEFT
Comments
© 2006/PW Hellyer, SR Uhrig, NG Robinson
Reproduced with permission from Peter ellyer, Colorado State University, Veterinary edical Center, USA
189

Appendix 1.indd 189 19/12/2018 10:49