[ID: The first image is the "BEAP Pain Scale for Cats" by PetHospice.com. Small text underneath the title says, "Many signs of chronic pain are non-specific. Make sure to see your vet to rule out other disease as a cause of these signs."
The chart itself has numbers on the side describing pain levels, a drawing of a cat emphasizing whatever is included in the check boxes within each section, and has a gradient from green to red.
"0: No Pain". The cat drawing is sitting up and looks happy. The check boxes are follows:
B: Breathing Normally
E: Eyes bright and alert
A: Walks normally and remains agile
A: Engages in play and all normal activities
A: Eating and Drinking normally
A: Happy and content; interested in surroundings; playful behavior; seeks attention
P: Comfortable at rest and during play; perky ears; upright, alert tail; whiskers relaxed
P: Enjoys being touched, petted, and brushed; no body tension present
"1-2: Mild pain. Speak to your vet during your next appointment." The cat drawing is still sitting up but the tail is on the ground and it looks sadder. The check boxes are:
B: Breathing normally
E: Eyes bright and alert
A: Slightly more hesitant to jump onto very high places such as counter tops but still able to easily jump onto couch or bed
A: May show only subtle change in normal activity and behaviors
A: Eating and drinking normally
A: Will often still remain happy and interested in surroundings
P: Tail may be down just a little more; ears up; whiskers generally appear relaxed
P: Enjoys being touched, petted and brushed; no body tension present
"3-4: Moderate Pain. See your vet to assess pain." The cat drawing is laying down with its head up, again looking distressed. The check boxes are:
B: Breathing generally normal but may be at slightly increased rate
E: Eyes may be slightly more dull in appearance; eyes may be held partially closed
A: Hesitant to jump to higher places; may also not jump onto lower places, such as couch or bed A: Not eager to interact but still in tune with surroundings; changes in normal routine; may hide; decreased grooming
A: Appetite more finicky, such as wanting only treats or "junk" food such as canned food
A: Generally more subdued and quiet
P: Difficulty posturing to eliminate or cover waste; subtle changes in posture; tail held low and ears more flattened, whiskers slightly down P: Does not mind touch except on painful area; turns head to look where touched; mild body tension
"5-6: Moderate to Severe Pain. [all caps] Concerning! [end caps]
See your vet." The cat drawing is curled up with its head on the floor. The check boxes are:
B: Breathing rate and effort may be increased
E: Dull eyes; eyes may remain partially or fully closed; pupils may be more dilated
A: Moves more slowly or gingerly; no longer jumps up onto couch or bed; difficulty on stairs
A: Withdraws from family and other pets; seeks solitude; decreased grooming; may excessively lick painful area; may have "accidents" outside the litter box
A: Will frequently lose appetite
A: Very subdued and quiet; increased facial tension; decreased enjoyment of being brushed
P: "Meatloaf" position; whiskers move forward slightly from face; rough or fluffed up fur; difficulty posturing to eliminate or cover waste fully
P: Pulls away painful area or tries to escape; moderate body tension when being touched
"7-8: Severe Pain. [all caps] Very concerning! [end caps]. See your vet." The cat drawing is laying down on its belly with its head slightly upward. Its eyes are squinting more and the whiskers are more curved downward. The check boxes are:
B: Faster breathing rate with more noticeable effort
E: Dull eyes; generally remain partially or fully closed; may have distressed look; pupils dilated
A: Unlikely to move if left alone
A: Avoids all interaction; will "go off" and hide, often in new places; stops grooming; frequently licks or chews at painful area, sometimes to the point of fur loss
A: Loss of appetite; may not want to drink
A: Reclusive; agitated; potentially aggressive; tail flicking; may be growling or hissing
P: Tail held close, ears flattened or pinned back, whiskers move forward and tend to bunch; "grimace face"; flattened posture
P: Significant body tension when painful area touched; may growl or hiss in pain; guards painful area by pulling away or trying to escape
"9-10: Worst Pain Possible. [all caps] Emergency! [end caps]. See your vet." The cat drawing is laying on its side, eyes nearly, closed. The check boxes are:
B: Increased breathing rate and effort; may have periods of open-mouthed breathing or panting
E: Dull, closed eyes; eyes may also widen with a look of panic; pupils dilated
A: Unable or unwilling to walk
A: Difficulty in being distracted from pain, even with gentle touch or soothing voice; may bite or chew painful area; may eliminate where lying
A: No interest in food or water
A: Extremely depressed or minimally responsive ("flat out"); quiet, growling or hissing; distressed
P: Lying on side; tail may appear "fluffed"
P: Rigid body tension when touched; will not tolerate touch of painful area; hissing when other areas that are not painful are touched
/End ID]
[ID: The second image is an AU scale that includes both real pictures of cats and drawings as examples. The scale is 0-2, and has a written list of things to look for underneath the pictures and ratings.
"0: AU is absent." The picture and drawing shows a cat with wide open eyes, their ears facing forward. The picture shows the cat standing tall. The list is:
- Ears facing forward
- Eyes opened
- Muzzle relaxed (round shape)
- Whiskers loose and curved
- Head above shoulder line
"1: AU is moderately present." The picture and drawing show a cat with a more oval-shaped sections of the muzzle (the parts that hold the whiskers). Their eyes are half way open, and the ears are facing outward, leaning slightly away from each other. The cat in the picture is lying down, its head level with the shoulders. The list is:
- Ears slightly pulled apart
- Eyes partially opened
- Muzzle slightly tense
- Whiskers slightly curved or straight
- Head aligned with shoulder line
"2: AU is markedly present." In both depictions, the ears are turned almost completely away from each other and the eyes are completely, or nearly, closed. The parts of the muzzle that holds the whiskers are thinner ovals. The list is:
- Ears flattened and rotated outwards
- Squinted eyes
- Muzzle tense (elliptical shape)
- Whiskers straight and moving forward
- Head bowed below the shoulder line or tilted down (chin towards chest)
/End ID]