Chapter 130

Pain Assessment Tools
1
APPENDIX
Poker Chip Tool. Poker Chips represent “pieces of hurt”, the child determines the amount of “hurt” he/she by indicating the number
of poker chips.
Word Graphic Rating Scale.
________________________________________________________________________________________________________
No Pain Little Pain Medium Pain Large Pain Worst Possible Pain
Eland Color Scale. The child uses colors to indicate the areas that
hurt on a schematic of a child’s body (gender-specific). The child
is allowed to choose which colors represent mild, moderate, and
severe pain (or hurt).
0–10 Scale. As in adults, the child states on a scale of 0–10 what
level their pain is: 0 = no pain and 10 = worst possible pain.
Wong Baker Faces Pain Scale. 50
Oucher Scale. The child is shown photographs of a child with
different facial expressions ranging from calm and relaxed to
screaming. The faces are arranged beside a scale and the child
points to the photograph that represents his degree of pain.
There are White, African American, and Hispanic Ouchers
available. 49