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Someone on my Parkinson's list sent this and I thought you all might be interested. You may have seen this before, but this is the first pain scale that I have seen that goes into so much detail explaining the levels. Much more descriptive than the little smilies posted in the ER!

Mankoski Pain ScaleCopyright © 1995, 1996, 1997 Mankoski. All rights reserved.Right to copy with attribution freely granted. 0 Pain Free No medication needed. 1 Very minor annoyance - occasional minor twinges. No medication needed. 2 Minor annoyance - occasional strong twinges. No medication needed. 3 Annoying enough to be distracting. Mild painkillers are effective. (Aspirin, Ibuprofen.) 4 Can be ignored if you are really involved in your work, but still distracting. Mild painkillers relieve pain for 3-4 hours. 5 Can't be ignored for more than 30 minutes. Mild painkillers reduce pain for 3-4 hours. 6 Can't be ignored for any length of time, but you can still go to work and participate in social activities. Stronger painkillers (Codeine, Vicodin) reduce pain for 3-4 hours. 7 Makes it difficult to concentrate, interferes with sleep You can still function with effort. Stronger painkillers are only partially effective. Strongest painkillers relieve pain (Oxycontin, Morphine) 8 Physical activity severely limited. You can read and converse with effort. Nausea and dizziness set in as factors of pain. Stronger painkillers are minimally effective. Strongest painkillers reduce pain for 3-4 hours. 9 Unable to speak. Crying out or moaning uncontrollably - near delirium. Strongest painkillers are only partially effective. 10 Unconscious. Pain makes you pass out. Strongest painkillers are only partially effective

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