Prescriber's
Guidelines -
(con't)
These guidelines were developed for the use by Stony Brook University
Hospital’s Acute Pain Service.
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TO BE USED ONLY FOR NONVERBAL PATIENTS |
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DESCRIPTION |
EVAL |
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OBSERVATION |
0 |
1 |
2 |
(0, 1, or 2) |
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Face |
Normal or relaxed position |
Occasional grimace or frown, withdrawn, disinterested |
Frequent to constant frown, clenched jaw, quivering chin |
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Legs |
Normal or relaxed position |
Uneasy, restless, tense |
Kicking or legs drawn up |
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Activity |
Lying quietly, normal position, moves easily |
Squirming, shifting back and forth, tense |
Crying steadily, screams or sobs, frequent complaints |
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Cry |
No cry (awake or asleep) |
Moans or whimpers, occasional complaint |
Crying steadily, screams or sobs, frequent complaints |
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Consolability |
Content, relaxed |
Reassured by occasional touching, hugging, "talking to", distractible |
Difficult to console or comfort |
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From 0 being no pain to 10 being worst possible TOTAL |
/10 |
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