Any of you that have been in the hospital or had outpatient surgery have probably had the pain scale question asked of you. We have to ask it frequently, it is also used on pain scale paperwork that has to be done on each patient every 3 months.
The question is: "Rate your pain on a scale of 1-10, with 0 being no pain and 10 being the worst pain you can imagine".
We rarely hear 0, frequently hear 6 or 7, but almost just as frequently are told 10. The problem is, these same people who say 10, may often continue to talk and laugh with no apparent issues and we need to medicate them according to what they say, not how they appear. I know that I can't judge someone else's pain, but I also know that most people are unable to talk, much less laugh through intense pain.
For that reason, I thought this diagram was hilarious when I saw someone (another nurse) post it on FB. I bet we would get more realistic numbers if we used this!