(APN)

supattanas@hotmail.com

(8 .. 53)





1. NIPS (Neonatal Infant Pain Scale)
2. FLACC scale (Face; Legs; Activity; Cry;
Consolability Scale)
3. CHEOPS (Children Hospital of Eastern Ontario
Pain Scale)
4. FACE Scale
5. NUMERIC Scale
6. Behavior Pain Scale (BPS)
7. Verbal Pain Scale (VPS)

(8 .. 53)

NIPS ( Neonatal Infant Pain Scale )

(8 .. 53)

NIPS ( Neonatal Infant Pain Scale )

1.
2.
3.
4.
5.

-1
0-7
Cut of point = 4

0
=
1-3 =
4-5 =
6-7 =

(8 .. 53)

FLACC scale : (Face; Legs; Activity; Cry;

Consolability)
Merkel S, et al. 1997. The FLACC: A behavioral scale for scoring postoperative pain in young children, Pediatr Nurse 23(3), p. 293-297

FLACCS 29 -3
(Cut of Point=2) 2

0 =

0 =

(
)

0 =
,,

1 = ,
,,

1 = ,
,

1 = , 1 =
,

1 =

2 = 2 =

2 =

2 =
2 =

(8 .. 53)

0 =

,
0 =

FLACC scale
1. 1 -3


2. 0 10
3. Cut of point = 2
4.
5.
0 =
1-3 =
4-6 =
7-10 =

(8 .. 53)

CHEOPS (Children Hospital of Eastern

Ontario Pain Scale)
0 =

( )

CHEOPS

3-6

1 = 0 =
1 = ,
1 =
1 =

6
(Cut
of Point=6)

0 =

2 =

1 = 1

( )

02 ==

,
, 1
= 1/ =
2 =
,
,
2 = 1
= 2 = , ,1 =

,
/

2 = ,

1 = /,

, , ,, , ,

,
, 2 = , ,
2 =
, , ,
,
2 =

2 =

3 =

2 = ,

3 =

, , , ,

2 = ,

(8 .. 53)

CHEOPS (Children Hospital of Eastern

Ontario Pain Scale)
1.
2.
3.
4.
5.

3-6
4 13
Cut of point = 6

4
=
5-7 =
8-10 =
11-13 =

(8 .. 53)

FACE PAIN SCALE

FACE PAIN SCALE

: 0 = ,

10

(8 .. 53)

FACE PAIN SCALE

1. NUMERIC SCALS 0 10
2. Cut of point = 4

3.


4. (self-report)
5.
0
13
46
7 10

6.

=
=
=
=

(8 .. 53)

10

NUMERIC Scale

(8 .. 53)

11

NUMERIC Scale
1. NUMERIC SCALS 0 10
2. Cut of point = 4
3.



4. (self-report)
5.
0
13
46
7 10

(8 .. 53)

=
=
=
=

12

Verbal Pain Scale (VPS)

1. Verbal Pain Scale 0 10
2.







3. (self-report)
4.
0
13
46
7 10

(8 .. 53)

=
=
=
=

13

Behavior Pain Scale (BPS)

(Payen et al, 2001)

/
1.


/ICU

2.
NS, VS, O2 saturation, Sedative
scale
3. 3-12
4.
5.
3
=
4-6 =
7-9 =
10-12 =

(8 .. 53)

14

Behavior Pain Scale (BPS)

( on Ventilator)

(Facial expression)

(Upper limbs)

(Compliance with

ventilation)

(8 .. 53)

1
2
3
4
1
2
3
4
1
2
3
4
15

Behavior Pain Scale (BPS)

( unconscious on ventilator)

(Facial expression)

(Upper limbs)

(Ventilation)

(8 .. 53)

1
2
3
4
1
2
3
4
1
2
3
4
16

Sedation Scale

(8 .. 53)

17

Sedation Score
1.
MO

2. 0-3
3.
0 1

4.

2-3

(8 .. 53)

18


1.
2.
3.

PS (pain score) = 0
)
(--
PS>0 4 PS = 0
4

4.
5.

Sedation scale

(8 .. 53)

19


1.



( 6.7
.....)
T=35-36

PS=0-10
Nurses note

2.

X PS

3.

4.

Nurses Note

(8 .. 53)

20

MRS

x x x x x x x

(8 .. 53)

x x x
x
x xx

x xx
xx xx x x x
xx xx
21


3. PS


15


30

30
4. PS

(8 .. 53)

22

MRS

x x
x xx
x xx
x
x xx x x x x x
xx xx
x x x x x x x

(8 .. 53)

23



1.

PS

()

2.

PS

3.

, Nurses note

(8 .. 53)

24


(Guidelines for Pain Management)

-, , ,
-Acetaminophen (Tylenol)

-
-NSAID
-
/

-Aspirin


-


-



-
(

-

)

-See above
- -/
-Music
-Muscle relaxation

-Narcotic bolus
-Codeine

-Hot/Cold compress
-Massage
-Multi-modal techniques

-Hypnosis
-Muscle relaxation/Deep breathing
-Meditation
-Multi-modal techniques

(8 .. 53)

-Narcotic intermittent bolus

-Consider narcotic drip
-MO
-Fentanyl
25

WHO Pain Ladder

MO, Fentanyl
Codeine,

Paracet, NSAID,
Aspirin

(8 .. 53)

(www.who.org, 2002)

26