Front Matter

Chapter 18 Rehabilitation for Geriatric Patients 469

Table 18.3 Adaptation of the Colorado State University acute pain scale

Pain

score Dog’s posture

Psychological and

behavioral Response to palpation

Body

tension

0 •^ Comfortable at rest

• Happy, content


• Interested in
  surroundings
  
  
  • Not tender to palpation Minimal
  
  
  
  

1 • Content to slightly

unsettled or restless

• Distracted easily by
  surroundings
  
  
  • Reacts by looking around,
    flinching, or whimpering
  
  
  
  

Mild

2 • Uncomfortable at

rest

• Whimpers, cries,
  licks painful area


• Droopy ears, worried
  facial expression


• Reluctant to respond


• Not eager to interact
  with surroundings
  
  
  • Flinches, whimpers, cries,
    or guards/pulls away
  
  
  
  

Mild to

moderate

3 • Unsettled, crying,

groaning, biting/

chewing painful area

• Limps, shifts weight


• Unwilling to move
  
  
  • Increased breathing
  
  
  • Cries, growls
  
  
  • Bites or pulls away
  
  
  
  

Moderate

4 • Constant groaning or

screaming

• Biting/chewing
  painful area


• Unwilling to move


• Potentially unrespon-
  sive to surroundings


• Difficult to distract
  from pain
  
  
  • Cries at gentle palpation
  
  
  • Might react aggressively
  
  
  
  

Moderate

to severe

Source: Adapted from Hellyer and colleagues (2006). Illustrations by Marcia Schlehr