Wilderness Emergency Medical Services Institute
Mankoski Pain Scale
Andrea Mankoski devised this pain scale to help describe the subjective experience
of pain in more concrete terms to her doctors and family. Please feel
free to use it and distribute it with attribution.
- 0 - Pain Free
- 1 - Very minor annoyance - occasional minor twinges. No medication
- 2 - Minor Annoyance - occasional strong twinges. No medication
- 3 - Annoying enough to be distracting. Mild painkillers take care of
it. (Aspirin, Ibuprofen.)
- 4 - Can be ignored if you are really involved in your work, but
still distracting. Mild painkillers remove pain for 3-4 hours.
- 5 - Can't be ignored for more than 30 minutes. Mild painkillers
ameliorate pain for 3-4 hours.
- 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, narcotics) reduce pain for 3-4 hours.
- 7 - Makes it difficult to concentrate, interferes with sleep. You can
still function with effort. Stronger painkillers are only partially
- 8 - Physical activity severely limited. You can read and converse
with effort. Nausea and dizziness set in as factors of pain.
- 9 - Unable to speak. Crying out or moaning uncontrollably - near
- 10 - Unconscious. Pain makes you pass out.
Copyright © 1995, 1996 , All Rights Reserved. Right to copy
with attribution freely granted. The information contained herein written
and copyright by andi@basilisk-49.Eng.Sun.COM (Andrea Mankoski)
Date Last Revised: April 8, 1998