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  • Hasbro Children's Hospital Parents' Guide: Relieving Your Child's Pain

  • How Do We Measure Pain?

  • Ladder Pain
    Rating Scale

    Adapted with permission from Nancy Hester, University of Colorado Health Sciences Center School of Nursing

    Your child's pain is monitored regularly by watching for changes in behavior, specifically shifts in eating, sleeping and playing habits. Our staff also uses a pain scale so that your child can rate the level and intensity of the pain.

    The pain scales are geared to the age of each child, their level of understanding and their ability to express pain.

    The two most common scales for children are the faces scale and the ladder scale. These scales use pictures and terms children can easily understand to rate pain.

    A special scale is used to rate an infant's pain or a child who is unable to communicate pain. This scale looks at behaviors such as crying, facial expressions and body movements.

    Faces Pain Rating Scale

    Faces Pain Rating Scale Wong, D., (1995). Nursing Care of Infants and Children
    (5th ed., p. 1085) St. Louis: Mosby (used with permission).