Pain Score Feline

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PAIN SCORE 0-2

Psychological & Behavioral:
Content and quiet when unattended
Comfortable when resting
Interested in or curious about surroundings
Response to Palpation:
Not bothered by palpation of wound or surgery site, or to palpation elsewhere
Body Tension:
Minimal

PAIN SCORE 3-4
Psychological & Behavioral:
Signs are often subtle and not easliy detected in the hospital setting; more likely to be detected by the owners at home.
Earliest signs at home may be withdrawal from surroundings or change in normal routine.
In the hospital, may be content or slightly unsettled.
Less interested in surroundings but will look around to see what is going on.
Response to Palpation:
May or may not react to palpation of wound or surgery site
Body Tension:
Mild

PAIN SCORE 5-6
Psychological & Behavioral:
Decreased responsiveness, seeks solitude.
Quiet, loss of brightness in eyes.
Lays curled up or sits tucked up (all four feet under body, shoulders hunched, head held slightly lower than shoulders, tail curled tightly around body) with eyes partially or mostly closed.
Hair coat appears rough or fluffed up.
May intensively groom an area that is painful or irritating.
Decreased appetite, not interested in food.
Response to Palpation:
Responds aggressively or tires to escape if painful area is palpated or approached
Tolerates attention, may even per up when petted as long as painful area is avoided.
Body Tension:
Mild to Moderate
Reassess analgesic plan

PAIN SCORE 7-8
Psychological & Behavioral:
Constantly howling, growling or hissing when unattended.
May bite or chew at wound, but unlikely to move if left alone.
Response to Palpation:
Growls or hisses at non-painful palpation (may be experiencing allodynia, wind-up, or fearful that pain could be made worse)
Reacts aggressively to palpation, adamantly pulls away to avoid any contact.
Body Tension:
Moderate
Reassess analgesic plan

PAIN SCORE 9-10
Psychological & Behavioral:
Prostrate.
Potentially unresponsive to or unaware of surroundings, difficult to distract from pain.
Receptive to care (even mean or wild cats will be more tolerant of contact.)
Response to Palpation:
May not respond to palpation
May be rigid to avoid painful movement.
Body Tension:
Moderate to Severe
May be rigid to avoid painful movement
Reassess analgesic plan

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