Mankoski Pain Scale
Copyright © 1995, 1996, 1997 Andrea Mankoski. All rights reserved.
Right to copy with attribution freely granted.
Level O
Pain-free
No medication needed.
Level 1
Very minor annoyance - occasional minor twinges.
No medication needed.
Level 2
Minor annoyance - occasional strong twinges.
No medication needed.
Level 3
Annoying enough to be distracting.
Mild painkillers are effective. (Aspirin, Ibuprofen)
Level 4
Can be ignored if you are really involved in your work, but still distracting.
Mild painkillers relieve pain for 3-4 hours.
Level 5
Can’t be ignored for more than 30 minutes.
Mild painkillers reduce pain for 3-4 hours.
Level 6
Can’t be ignored for any length of time, but you can still go to work and participate in social activities.
Stronger painkillers (Codeine, Vicodin) reduce pain for 3-4 hours.
Level 7
Makes it difficult to concentrate, interferes with sleep You can still function with effort.
Stronger painkillers are only partially effective. Strongest painkillers relieve pain (Oxycontin, Morphine)
Level 8
Physical activity severely limited. You can read and converse with effort. Nausea and dizziness set in as factors of pain.
Stronger painkillers are minimally effective. Strongest painkillers reduce pain for 3-4 hours.
Level 9
Unable to speak. Crying out or moaning uncontrollably - near delirium.
Strongest painkillers are only partially effective.
Level 10
Unconscious. Pain makes you pass out.
Strongest painkillers are only partially effective.
(Source: Andrea McCallum)
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Comments 1
I am just a patient..after Appendicectomy and laproscopy 2 years ago
Posted 15 Aug 2006 at 5:49 am ¶i started to developp endometriosis….Oestrogen level..progest-level
are the cause ../? but i was born with spina Bifida..Infertility
is also a problem…with that disease..tumours at my age in my
estimate are chocking..no doctor has said anything about levels
of those hormones in our blood after surgery (as a child or adult)?/
even now…Maybe a research or link to those diseases and diabetes
and early embalancement of hormones, sugar ect…
I am now infertile at 80 % at my opinion..It is genetic and
hormonal..
your level of pain do not mention other disease or adhesions
scars internal or external…
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