I agree a patients words are a better indicator than numbers on the pain scale. I also look for physical indicators like curling up on their sides or holding onto the part that hurts when they think no one is watching. I look for breathing changes and sweating or clamminess as well. If there is true pain no matter who the person is there will be over signs as well. I can’t dispense meds yet, but I can report what I observe to the ER nurses and DRs I work with. I know pain is relative and sometimes all they really need is someone to listen to them.