This pain scale is divided into sections of increasing levels of pain:
1-2 (mild pain), 3-4 (moderate pain), 5-6 (moderate to severe), 7-8 (severe), 9-10 (worst pain possible)
Within each one of these sections, you will see corresponding behaviours or physical changes that your cat may show if they are experiencing that level of pain.
Score your cat for each of the following behavioural or physical factors (with a tick) within the associated pain section:
B: Breathing, E: Eyes, A: Ambulation, aka walking, A: Activity, A: Appetite, A: Attitude, P: Posture, P: Palpation, aka response to touch
Each one of these behaviours will change as the pain intensifies. For example, in the top left corner of each box, you will see the letter ‘B‘ which stands for ‘Breathing’. If your cat is breathing normally, you will score this behaviour as ‘No Pain’. However, if your cat has a faster breathing rate with more noticeable effort, you will score this behaviour as ‘Severe Pain’. Similarly, if your cat’s Posture is comfortable at rest and during play, then it is scored as ‘No Pain’, but if it is in the ‘Meatloaf’ position and/or has difficulty posturing to eliminate or cover waste fully, you will score this behaviour as ‘Moderate to Severe Pain’.
Whichever pain section most of your ‘ticks’ fit into, this is most likely the level of pain your cat is experiencing. It is important to note that you do not have to tick every box for your pet to fall into that section. Pain is also dynamic, meaning the severity, during, and impact can change throughout the day.