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NUR211 > CPOT and PAINAD scales > Flashcards

CPOT and PAINAD scales Flashcards

for communicative impaired patients pain scale

1
Q

CPOT

What does a relaxed facial expression score on the Critical Care Pain Observation Tool?

A

0

Indicates no muscular tension observed.

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2
Q

CPOT

What facial movements indicate a score of 1 on the Critical Care Pain Observation Tool?

A

Tense facial expression with frowning, brow lowering, orbit tightening

Includes levator contraction.

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3
Q

CPOT

What score indicates grimacing in facial expression?

A

2

Involves all previous facial movements plus eyelids tightly closed.

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4
Q

CPot

What behavior is observed for a score of 0 in body movements?

A

Absence of movements

Does not necessarily mean absence of pain.

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5
Q

CPOT

What body movement behaviors score a 1 on the Critical Care Pain Observation Tool?

A

Protection, slow cautious movements

Includes touching or rubbing the pain site.

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6
Q

CPOT

What body movement behaviors indicate a score of 2?

A

Restlessness, pulling tubes, thrashing

Involves not following commands or striking at staff.

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7
Q

CPOT

What does a score of 0 indicate in muscle tension evaluation?

A

No resistance to passive movements

Shows relaxed state.

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8
Q

CPOT

What score indicates strong resistance to passive movements?

A

2

Inability to complete passive movements.

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9
Q

CPOT

What score on the Critical Care Pain Observation Tool indicates alarms not activated?

A

0

Reflects easy ventilation.

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10
Q

CPOT

What does a score of 1 indicate regarding compliance with the ventilator?

A

Coughing but tolerating

Applies to intubated patients.

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11
Q

CPOT

What vocalization behavior scores a 2 for extubated patients?

A

Crying out, sobbing

Indicates significant distress.

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12
Q

CPOT

What is the total score range for the Critical Care Pain Observation Tool?

A

0–8

Higher scores indicate greater pain or distress.

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13
Q

CPOT 4 areas to be evaluated?

A

Facial expression, body movements, muscle tension, compliance with the ventilator either intubated or extubated

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14
Q

PAINAD categories?

A

breathing, negative vocalization, facial expression, body language, consolability

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15
Q

Cheyne stokes respiration is included in PAINAD what area and what score?

A

score 2

breathing

also long period of hyperventilation or noisy labored breathing qualifies for 2

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16
Q

What does a score of 0 indicate for Breathing in the PAINAD Scale?

A

Normal

Indicates no labored breathing.

17
Q

What does a score of 1 indicate for Negative Vocalization in the PAINAD Scale?

A

Occasional moan/groan

Indicates low-level speech with a negative or disapproving quality.

18
Q

What facial expression corresponds to a score of 0 in the PAINAD Scale?

A

Smiling or inexpressive

Indicates no signs of distress or pain.

19
Q

What does a score of 2 indicate for Body Language in the PAINAD Scale?

A

Rigid, fists clenched, knees pulled up, striking out, pulling or pushing away

Indicates significant distress and discomfort.

20
Q

What does a score of 0 indicate for Consolability in the PAINAD Scale?

A

No need to console

Indicates the individual is calm and not in pain.

21
Q

What is the total score range for the PAINAD Scale?

A

0-10 points

A higher score indicates greater pain severity.

22
Q

What does a total score of 1-3 indicate in the PAINAD Scale?

A

Mild pain

Indicates the lowest level of pain severity.

23
Q

What does a total score of 4-6 indicate in the PAINAD Scale?

A

Moderate pain

Indicates a noticeable level of discomfort.

24
Q

What does a total score of 7-10 indicate in the PAINAD Scale?

A

Severe pain

Indicates the highest level of distress.

25
Q

What type of breathing corresponds to a score of 2 in the PAINAD Scale?

A

Noisy labored breathing

Indicates significant respiratory distress.

26
Q

What kind of facial expression is associated with a score of 1 in the PAINAD Scale?

A

Sad, frightened, frown

Indicates some signs of emotional distress.

27
Q

Fill in the blank: A score of _____ indicates long periods of hyperventilation in the PAINAD Scale.

A

2

Indicates severe respiratory distress.

28
Q

True or False: The PAINAD Scale has been substantiated in the literature for its scoring ranges.

A

False

The scoring ranges have not been substantiated in the literature.

NUR211 (12 decks)

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