FELINE GRIMACE SCALE FACT SHEET [photo of tabby cat upper face] Evangelista et al. Facial expressions of pain in cats: the development and validation of a Feline Grimace Scale. Sci Rep 9, 19128 (2019) WHY? Pain-induced behavioral changes are unique in cats and can be subtle. WHO? • The instrument has been developed and validated to be used by veterinarians. • It is currently under testing for use by other veterinary care professionals. WHAT? • The Feline Grimace Scale is a simple method of acute pain assessment. It is based on changes in facial expressions and can be easily and quickly performed in the clinical setting. • It differentiates painful and non-painful cats and response to analgesic treatment. WHEN? • The FGS is used for acute pain assessment in cats with medical, surgical or oral pain, etc. • Pain assessment should be performed as often as needed and on a case-by-case basis. HOW? There are five action units (AU): • Ear position, • Orbital tightening, • Muzzle tension, • Whiskers position • Head position Each unit is scored: 0 (absent), 1 (moderately present) or 2 (present) • The final score is calculated by the sum of scores divided by the maximum possible scores Analgesic treatment is suggested when the final score is 4/10 or O.4/1.0 Photo and line art of each state of cat. O-AU is absent • Ears facing forward • Eyes opened • Muzzle relaxed (round shape) • Whiskers loose and curved • Head above the shoulder line 1-AU is moderately present* • Ears slightly pulled apart • Eyes partially opened • Muzzle mildly tense • Whiskers slightly curved or straight • Head aligned with the shoulder line *The score of 1 can be also given when there is uncertainty over the presence or absence of the AU. 2-AU is markedly present • Ears flattened and rotated outwards • Squinted eyes • Muzzle tense (elliptical shape) • Whiskers straight and moving forward • Head below the shoulder line or tilted down (chin towards the chest)
This may help in figuring out if your cat is in pain, because cats are little sh*ts and won't tell you directly
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