I’m skeptical about … pain scores


In 2001, a year after President Clinton signed into law a bill declaring 2001-2010 to be the “Decade of Pain Control and Research,” JCAHO (Joint Commission on Accreditation of Healthcare Organizations) initiated standards mandating that all patients receive pain screening during their visit to accredited institutions. Pain was declared the “5th vital sign,” along with pulse, blood pressure, respiratory rate, and temperature. Every ER in the nation now includes a pain assessment as part of its triage protocol, most commonly a 1-10 score for adults and a smiley/frowny face score for kids. Continue reading