The PAINAD scale is simple and quick to administer, making it ideal for use in busy clinical settings. Each of the five behaviors is scored from 0 to 2, with a total possible score of 10. Higher scores indicate more severe pain. Nurses observe the patient and assign scores based on their behaviors:
- Breathing: Assess for labored breathing or hyperventilation. - Negative Vocalization: Note moaning, groaning, or crying. - Facial Expression: Look for grimacing, frowning, or a sad appearance. - Body Language: Check for tense body posture, fidgeting, or guarding. - Consolability: Determine if the patient can be comforted or is inconsolable.
