Periodic reminder that “rate your pain on a scale from 1 to 10" is bullshit without reference points. People with chronic pain, tough guys, people with intense periods, and people who struggle with interoception all struggle when the endpoints are nebulous.

Let me introduce you to the DVPRS: https://www.va.gov/WHOLEHEALTHLIBRARY/docs/Defense-and-Veterans-Pain-Rating-Scale.pdf

It even works if you substitute pain for general impact. If you're asked to rate a symptom on a scale from 1 to 10, this works too.

0 = No pain
1 = Hardly notice pain
2 = Notice pain, does not interfere with activities
3 = Sometimes distracts me
4 = Distracts me, can do usual activities
5 = Interrupts some activities
6 = Hardto ignore, avoid usual activities
7 = Focus of attention, prevents doing daily activities
8 = Awful, hard to do anything
9 = Can’t bear the pain, unable to do anything
10 = As bad as it could be, nothing else matters

10 is still pretty subjective there, but "nothing else matters" is clear enough, and really 9 or 10 isn't really a big difference in how much it matters clinically. (It tells the clinician if an intervention helps though)

@aredridel Thank you for this, I now know how to talk to medical folks on my Dad's behalf; his chronic pain has been happening and worsening for decades and he never knew how to answer "what's your pain level" even *before* he had cognitive issues.

@twenty20sight YAY!

Tell 'em you're using the scale. It gets everyone on the same page! And ideally, they can start spreading the word a bit.