Pain Assessment Scales
🔢 Numeric Rating Scale (NRS)

Patient verbally rates pain 0–10. Quick, widely used, valid for most adult patients.

0 — None1–3 — Mild4–6 — Moderate7–10 — Severe
0 — No pain
1–3 — Mild: manageable, non-pharmacological ± paracetamol
4–6 — Moderate: Step 2 analgesia, reassess 60 min
7–10 — Severe: Step 3, IV analgesia, urgent review, reassess 30 min
📏 Visual Analogue Scale (VAS)

100mm horizontal line. Patient marks point representing pain intensity. More sensitive than NRS for detecting small changes. Used in research settings.

No pain
Worst pain
0 cm10 cm

Score: <30mm mild, 30–60mm moderate, >60mm severe. Less suitable for elderly or cognitively impaired patients.

😊 Wong-Baker FACES Pain Scale

Suitable for: children (3+ years), cognitive impairment, language barriers, low literacy.

😊
0
No hurt
🙂
2
Hurts little
😐
4
Hurts more
😟
6
Hurts even more
😖
8
Hurts whole lot
😭
10
Hurts worst
Explain to patient: "Point to the face that shows how much pain you have right now." Do not ask about crying — facial expression only.
🧮 FLACC Scale — Interactive Calculator

Behavioural scale for infants, children (2 months–7 years), or any patient unable to self-report pain.

Face
Legs
Activity
Cry
Consolability
0
Relaxed / Comfortable
Total FLACC Score (0–10)
🏥 CPOT — Critical Care Pain Observation Tool

For intubated/sedated ICU patients unable to self-report. Score ≥3 indicates significant pain requiring treatment.

Facial Expression
Body Movements
Ventilator Compliance / Vocalisation
Muscle Tension
0
No pain indicated
Total CPOT Score (0–8)
🧓 PAINAD Scale — Dementia Patients

Pain Assessment in Advanced Dementia. Observational scale, total 0–10.

Item012
BreathingNormalOccasional laboured breathingNoisy laboured / Cheyne-Stokes
Negative VocalisationNoneOccasional moan/groanRepeated troubled calling out
Facial ExpressionSmiling/inexpressiveSad, frightened, frownFacial grimacing
Body LanguageRelaxedTense, distressed pacingRigid, fists clenched, knees pulled
ConsolabilityNo need to consoleDistracted by voice/touchUnable to console/distract
Score 1–3: mild pain. Score 4–6: moderate. Score 7–10: severe. Treat accordingly and reassess.
📋 OLD CARTS Pain History Mnemonic
O
Onset
When did it start? Sudden or gradual?
L
Location
Where is the pain? Does it radiate?
D
Duration
Constant or intermittent? How long?
C
Character
Sharp, dull, burning, throbbing, crampy?
A
Aggravating
What makes it worse? Movement, eating?
R
Relieving
What helps? Rest, ice, medication?
T
Treatment
What has been tried? Current meds?
S
Severity
Rate 0–10. At rest AND with movement.
🌍 GCC Cultural Considerations in Pain Assessment
Cultural variation in pain expression is well-documented in the GCC region. Nurses must combine objective tools with culturally informed observation.
WHO Analgesic Ladder
The WHO 3-step analgesic ladder provides a systematic approach: start at the appropriate step for pain severity, titrate upward if uncontrolled, and always combine with adjuvants and non-pharmacological measures.
Step 1 — Mild Pain (NRS 1–3): Non-Opioids
First-line agents
  • Paracetamol: 1g QDS (IV or oral — equivalent bioavailability). Regular dosing preferred over PRN. Maximum 4g/24h (reduce to 2–3g in hepatic impairment/elderly/low weight <50kg).
  • Ibuprofen: 400mg TDS with food. Avoid in renal impairment, elderly, GI history.
  • Diclofenac: 75mg BD (oral/IM). Avoid post-cardiac surgery. Add PPI (omeprazole 20mg OD) if prolonged use.
  • Naproxen: 500mg BD — longer half-life, useful for musculoskeletal pain.
  • Celecoxib: COX-2 selective; GI-safer but same renal/CV risks.
NSAID cautions
  • Renal impairment (AKI risk, avoid if eGFR <30)
  • Elderly patients — increased sensitivity
  • Peptic ulcer disease / GI bleed history
  • Post-cardiac/vascular surgery — avoid
  • Pregnancy (3rd trimester — contraindicated)
  • Asthma with NSAID sensitivity
  • Always prescribe PPI cover if >5 days use
Step 2 — Moderate Pain (NRS 4–6): Weak Opioids
  • Tramadol: 50–100mg QDS (oral/IV). Dual mechanism: mu-opioid + serotonin/noradrenaline reuptake inhibition. Caution: seizure risk, serotonin syndrome with SSRIs/SNRIs, reduce dose in renal impairment.
  • Codeine: 30–60mg QDS. Pro-drug converted by CYP2D6. Ultra-rapid metabolisers (common in Arab/North African populations) — risk of toxicity. Avoid in children under 12.
  • Dihydrocodeine: 30mg QDS — similar profile to codeine.
Combination approach: Continue paracetamol ± NSAID from Step 1. Add weak opioid. This reduces opioid dose requirement.

If Step 2 inadequate after 24–48 hours, escalate to Step 3. Do not rotate between Step 2 agents — escalate.

Step 3 — Severe Pain (NRS 7–10): Strong Opioids
  • Morphine (IV/SC/oral): Titrate to effect. IV: 2–5mg bolus, repeat q15min. Oral: 5–10mg q4h. SC infusion via syringe driver.
  • Oxycodone: More predictable oral bioavailability (~80%), useful in opioid-naive patients. 5–10mg q4–6h oral.
  • Hydromorphone: 5–7.5x more potent than morphine IV. Used in renal impairment (less active metabolite accumulation).
  • Fentanyl patch: For chronic stable pain only. NOT for opioid-naive or acute pain. 25–100mcg/h, 72h change.
  • Methadone: Complex pharmacology, specialist only.
Always prescribe alongside:
  • Laxatives (senna + docusate) — mandatory
  • Antiemetic PRN (first 3–5 days)
  • Rescue dose: 1/6th of 24h oral morphine dose
Adjuvant Analgesics (Any Step)

Adjuvants enhance analgesia by acting on different pain pathways. Used at any ladder step, especially for neuropathic, bone, or mixed pain.

DrugIndicationDoseCaution
GabapentinNeuropathic, post-op, chronic100–300mg TDS (start low)Reduce in renal impairment; sedation
PregabalinNeuropathic, fibromyalgia75–150mg BDRenal dose adjustment; dizziness; caution post-op respiratory
AmitriptylineNeuropathic, chronic pain10–25mg nocteAnticholinergic effects, ECG changes, elderly caution
DexamethasoneBone pain, raised ICP, nerve compression4–8mg OD/BDHyperglycaemia, GI, long-term effects
Ketamine (sub-anaesthetic)Opioid-refractory, neuropathic0.1–0.3mg/kg/h infusionPsychomimetic effects; specialist initiation
Lidocaine infusionPerioperative, complex pain1–1.5mg/kg/hCardiac monitoring required
BisphosphonatesBone metastases painPer oncology protocolRenal function; osteonecrosis of jaw
Multimodal Analgesia Principles
🔄 Why Multimodal?
Combining agents that act at different sites/mechanisms achieves additive or synergistic analgesia while reducing opioid requirements — and therefore opioid side effects.
Peripheral
NSAIDs, COX-2 inhibitors, local anaesthetics block peripheral sensitisation
Spinal
Epidural LA/opioids, intrathecal agents act at dorsal horn
Central / Supraspinal
Opioids, paracetamol (central COX), ketamine (NMDA), gabapentinoids
Opioid Equianalgesic Converter
⚖️ Convert Between Opioid Doses

Reference: oral morphine equivalents (OME). Always reduce calculated dose by 25–30% when rotating opioids (incomplete cross-tolerance).

Fentanyl Patch Conversion: Oral morphine 90mg/24h ≈ Fentanyl 25mcg/h patch. (Divide OME/24h by 3.6 for approximate mcg/h fentanyl dose.) Always verify with palliative care/pharmacist.
OpioidRouteApprox. OME ratioNotes
MorphineOral1:1Reference
MorphineIV/SCOral ÷ 23:1 oral:IV ratio
OxycodoneOralMorphine ÷ 1.5More potent per mg
CodeineOralDivide by 10Weak, limited ceiling
TramadolOralDivide by 10Dual mechanism
HydromorphoneOralMultiply by 4–5Use in renal impairment
Fentanyl patchTransdermal25mcg/h ≈ 60–90mg oral morphine/24hChronic pain only
Opioid Side Effects & Management
🤢 Nausea & Vomiting
  • Affects 20–40% of patients initiating opioids
  • Usually resolves within 3–5 days with tolerance
  • Ondansetron: 4–8mg IV/oral TDS PRN
  • Metoclopramide: 10mg TDS (prokinetic benefit)
  • Cyclizine: 50mg TDS (useful in motion-component)
  • Haloperidol: 0.5–1.5mg nocte (opioid-specific nausea)
  • Consider opioid rotation if persistent despite antiemetics
🔒 Constipation
Tolerance does NOT develop — prescribe laxatives from day 1 of opioid initiation and continue throughout treatment.
  • Senna: 15–30mg nocte (stimulant)
  • Docusate: 100mg BD (softener) — use with senna
  • Movicol (macrogol): 1–2 sachets/day for faecal loading
  • Methylnaltrexone (Relistor): For opioid-induced constipation unresponsive to laxatives; does not reverse analgesia
  • Monitor: aim for bowel movement every 1–3 days
😴 Sedation
  • Assess using RASS (Richmond Agitation-Sedation Scale) or Pasero Opioid-Induced Sedation Scale (POSS)
  • POSS S = Sleep, easy to arouse — acceptable; 1 = Awake, alert — acceptable
  • POSS 2 = Slightly drowsy, easy arouse — acceptable; 3 = Frequently drowsy — reduce dose; 4 = Somnolent — stop, consider naloxone
  • If excessive sedation: reduce opioid by 25–50%, optimise non-opioid analgesia
  • Consider stimulants (methylphenidate) in palliative care if unavoidable
😤 Pruritus
  • More common with intrathecal/epidural opioids (up to 60%) than systemic (2–10%)
  • Chlorphenamine: 4mg TDS oral — first line
  • Ondansetron: 4mg IV — effective for pruritus (not via H1 mechanism)
  • Low-dose naloxone infusion: 0.25–1 mcg/kg/h (reduces pruritus without reversing analgesia)
  • Consider opioid rotation (fentanyl less pruritogenic than morphine)
🚽 Urinary Retention
  • Risk in elderly males (BPH), neuraxial opioids
  • Assess bladder for distension (palpation, ultrasound)
  • If retention: in-out catheterisation PRN or IDC
  • Tamsulosin (alpha-blocker) may help in males
  • Low-dose naloxone infusion can reverse urinary retention
  • Monitor urine output hourly post-op
EMERGENCY: Opioid-Induced Respiratory Depression
Respiratory rate <8/min AND/OR SpO2 <90% AND/OR unrousable sedation
  1. Call for help — emergency response
  2. Stimulate patient — sternal rub, call name loudly
  3. Supplemental oxygen — 15L via non-rebreather mask
  4. Naloxone 400mcg IV/IM — dilute 400mcg in 10mL saline → give 1–2mL (40–80mcg) increments every 2–3 min
  5. Repeat up to 3 doses maximum (1200mcg total)
  6. If no IV access: IM, SC, or intranasal naloxone 800mcg–2mg
  7. Onset IV: 2 min, IM: 5 min. Duration: 30–90 min — shorter than most opioids
  8. Start naloxone infusion if reversal achieved: 2/3 of reversal dose per hour
  9. Document time, dose, response — report as adverse incident
  10. Review entire opioid prescription — reduce or omit subsequent doses
Naloxone duration < most opioids. Patient MUST be monitored for re-narcotisation for 4–6 hours. Never leave unobserved after reversal.
Patient-Controlled Analgesia (PCA)
🖲️ PCA Principles & Settings
Standard Morphine PCA Settings
ParameterTypical Value
Bolus dose1–2mg morphine
Lockout interval5–10 minutes
Background infusionNone (opioid-naive) / 1mg/h (chronic users)
4-hour limit20–30mg
Solution concentration1mg/mL in NaCl 0.9%
Fentanyl PCA (if morphine intolerant)
ParameterValue
Bolus dose20–25mcg
Lockout interval5 min
Concentration10mcg/mL
Benefits of PCA over nurse-administered analgesia:
  • Patient controls timing — reduces peaks and troughs
  • Reduced nursing workload
  • Higher patient satisfaction
  • Lower total opioid consumption in many studies
  • Psychological benefit — sense of control
PCA Monitoring (Hourly):
  • NRS pain score (rest & movement)
  • RASS / sedation score
  • Respiratory rate (alert <10/min)
  • SpO2 (alert <94%)
  • Urine output
  • PCA attempts vs delivered doses
Contraindications: Unable to press button (unconscious, neurological deficit), lacks understanding, under 5 years old. Never allow family to press for patient.
Fentanyl Transdermal Patches
🩹 Fentanyl Patch Prescribing & Application
WARNING: Fentanyl patches are for CHRONIC, STABLE pain only — NOT for acute pain, opioid-naive patients, or breakthrough pain management.
Available Strengths
12mcg/h25mcg/h50mcg/h75mcg/h100mcg/h
  • Change every 72 hours (some patches 96h — check brand)
  • Onset: 12–24 hours to reach steady state
  • Offset: 12–24 hours after removal for levels to fall
  • Cover prescribed oral opioid for first 12–24h after application
  • Ensure rescue analgesia prescribed (immediate-release opioid)
Application Sites (rotate each change)
  • Upper chest (below clavicle)
  • Upper back (shoulder blade area)
  • Upper arm (outer aspect)
  • Upper thigh (non-hairy skin)
Application rules: Dry, non-irritated, flat skin. No hair clipping with razor (use scissors). No moisturiser. Press for 30 seconds. Write date/time on patch. Dispose in sealed container.
Fever, heat pad, hot bath → increased absorption → overdose risk.
ERAS & Perioperative Analgesia
🏃 Enhanced Recovery After Surgery (ERAS) Analgesia Protocol
Pre-operative
  • Paracetamol 1g PO 2h pre-op
  • Pregabalin 75–150mg PO pre-op
  • Celecoxib 200–400mg PO
  • Patient education — pain expectations
  • Carbohydrate loading (no prolonged fasting)
Intra-operative
  • Regional/neuraxial blocks
  • Wound infiltration with LA
  • IV paracetamol + ketorolac
  • Sub-anaesthetic ketamine
  • Dexamethasone 8mg (anti-emesis + analgesia)
  • Minimise intraoperative opioids
Post-operative
  • Regular paracetamol QDS
  • NSAID BD (if no contraindication)
  • Opioid PRN rescue only
  • Continue pregabalin BD x 5–7 days
  • Early oral intake and mobilisation
  • Remove drains/catheters early
💉 Epidural Analgesia
Standard Epidural Infusion
  • Bupivacaine 0.1% + fentanyl 2mcg/mL at 4–12mL/h
  • Adjust rate to achieve dermatomal coverage of incision
  • PCEA (patient-controlled epidural): 5mL bolus, 20min lockout
Required Monitoring
  • Pain NRS (rest & cough) — hourly
  • Motor block (Bromage scale) — hourly
  • Sensory level (ice test) — 4 hourly
  • Blood pressure (hypotension risk)
  • Respiratory rate & SpO2
  • Catheter site inspection — daily
Accidental High Block (Emergency):
  1. Stop epidural infusion immediately
  2. Call for urgent medical assistance
  3. Maintain airway — may require intubation
  4. IV fluids for hypotension + vasopressors
  5. Ephedrine 3–6mg IV boluses for hypotension
  6. Prepare for CPR if high thoracic/cervical block
Epidural complications to report urgently:
  • Motor block in legs (Bromage 3)
  • Severe hypotension (SBP <90)
  • Backache + fever (epidural abscess risk)
  • Persistent headache (dural puncture)
  • Bladder dysfunction
🎯 Regional Anaesthesia Blocks
BlockSurgery / IndicationNursing Responsibilities
SpinalLower limb, urological, caesareanMonitor BP, sensory/motor block, urinary retention
Femoral Nerve BlockPost-total hip/knee replacement, femoral #Fall prevention (quadriceps weakness), NRS monitoring
Adductor Canal BlockTKR (motor-sparing alternative)Less fall risk than femoral; monitor for breakthrough pain
Interscalene BlockShoulder surgeryIpsilateral phrenic nerve palsy — caution in respiratory disease; monitor SpO2
TAP Block (Transversus Abdominis Plane)Abdominal surgery, caesareanNo motor block expected; assess wound analgesia coverage
Paravertebral BlockThoracic, breast surgeryMonitor respiratory function; pneumothorax risk (rare)
Pecs Block I/IIBreast surgeryCheck wound analgesia, monitor respiratory rate
Special Patient Populations
👴 Elderly Patients
Physiological changes alter drug pharmacokinetics — start low, go slow.
  • Reduced renal clearance → accumulation of morphine-6-glucuronide
  • Reduced hepatic metabolism → longer opioid half-life
  • Increased CNS sensitivity → more sedation, delirium risk
  • Dose reduction: 25–50% opioid dose reduction in patients >70 years
  • Avoid long-acting opioids initially; use short-acting PRN
  • NSAIDs: high risk of AKI, GI bleed in elderly — avoid or minimise
  • Paracetamol: well-tolerated, use regularly
  • Monitor for delirium (CAM tool), falls, constipation (impaction risk)
👶 Paediatric Pain Management
  • Weight-based dosing essential — use mg/kg
  • Paracetamol: 15mg/kg QDS (max 75mg/kg/day)
  • Ibuprofen: 5–10mg/kg TDS (over 3 months, >5kg)
  • Morphine: 0.1mg/kg IV PRN (over 1 month), 0.2–0.3mg/kg oral
  • FLACC scale for under 7 years; FACES scale 3–7 years
  • Parental involvement: parents provide comfort, reduce anxiety
  • Non-pharmacological: distraction, music, play therapy, vibration (Buzzy device)
  • Topical EMLA cream before cannulation
  • Codeine: CONTRAINDICATED under 12 years (CYP2D6 variability)
  • Keep parents present during procedures wherever possible
🧠 Chronic Pain Considerations
  • Central sensitisation: lower pain threshold, amplified signals — NRS may be >7 even post adequate analgesia
  • Pain catastrophising — psychological component; CBT referral
  • Avoid escalating opioids indefinitely without reassessment
  • Multimodal approach: gabapentinoids + antidepressants + opioids + physio
  • Chronic pain team / pain management programme referral
  • Set realistic pain goals: aim for function, not zero pain
  • Differentiate chronic from acute-on-chronic pain — higher opioid requirements normal
🌙 Ramadan & GCC-Specific Context
Ramadan pain management requires patient-centred planning involving the clinical team, pharmacist, and patient.
  • Oral medications: most scholars permit medication if required for health
  • Patches, IV, suppositories, and injections generally permitted during fasting
  • Consult with patient and religious guidance; provide factual information
  • Reschedule oral analgesia to non-fasting hours if possible
  • Controlled Drug Registers (GCC): dual nurse signatures required for all opioid dispensing
  • Controlled drug waste must be witnessed and documented
  • Opioid regulations vary by emirate/country — follow local MOH protocol
  • Never administer opioids without valid prescription and signed CD register entry
Documentation Standards
📝 Pain Assessment Documentation Requirements
Frequency of Assessment
Clinical SettingMinimum Frequency
Post-operative (first 24h)Every 1 hour
Post-operative (24–72h)Every 2–4 hours
General ward, acute painEvery 4 hours + PRN
Chronic pain wardEvery 8–12 hours
ICU/HDUEvery 1 hour (CPOT/BPS)
After IV analgesia givenWithin 30–60 minutes
After oral/IM analgesia givenWithin 60–90 minutes
What to Document
  • Pain score: at rest AND with movement
  • Pain scale used (NRS / FLACC / CPOT / PAINAD)
  • Location and character of pain
  • Analgesic given (drug, dose, route, time)
  • Response to analgesia (score before and after)
  • Side effects observed
  • Non-pharmacological measures used
  • Patient understanding and education provided
  • Escalation if pain not controlled (NRS ≥7 unresponsive)
GCC Standard: Pain is the 5th vital sign. Document pain score alongside TPR, BP, and SpO2 on every observation chart.
🌿 Non-Pharmacological Adjuncts
Physical
  • Optimal positioning / elevation
  • Ice packs (acute injury, 20 min on/off)
  • Heat pads (muscle spasm, chronic)
  • TENS (transcutaneous electrical nerve stimulation)
  • Massage therapy
Psychological
  • Distraction techniques
  • Deep breathing / relaxation
  • Guided imagery
  • CBT-based techniques
  • Music therapy
  • Patient education
Rehabilitative
  • Early mobilisation (ERAS)
  • Physiotherapy
  • Splinting / offloading
  • Occupational therapy
  • Hydrotherapy
📊 Quick Reference: Naloxone Dosing
IndicationRouteDoseRepeat
Respiratory depression (adult)IV400mcg (dilute to 40–80mcg increments)Every 2–3 min, max 3×
Respiratory depression (no IV)IM / SC400mcgEvery 5 min
Respiratory depression (intranasal)IN800mcg–2mgRepeat after 5 min
Pruritus / urinary retentionIV infusion0.25–1 mcg/kg/hTitrate to effect
Opioid overdose (paediatric)IV10 mcg/kg, repeat 100 mcg/kg if no responsePer PALS protocol
Knowledge Check — 10 MCQ Quiz
1. A patient rates pain 5/10 on the NRS. Which WHO analgesic ladder step is most appropriate?
2. Which opioid side effect does NOT resolve with tolerance and requires routine prescribing of laxatives?
3. A post-operative patient on morphine PCA has a respiratory rate of 7/min and is difficult to rouse. What is the correct first-line intervention?
4. Which pain assessment tool is most appropriate for a ventilated, sedated adult ICU patient?
5. A FLACC score of 7 in a 3-year-old child indicates:
6. Standard morphine PCA settings for an opioid-naive adult include which bolus dose and lockout interval?
7. A patient from a GCC Arab background stoically denies significant pain despite obvious facial grimacing and guarding. The best nursing approach is:
8. Codeine is contraindicated in children under 12 primarily because of:
9. Pain reassessment after administering IV analgesia should occur within:
10. Which statement about NSAID prescribing in the GCC is correct?
Your Score
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