CPOT and PAINAD scales Flashcards
for communicative impaired patients pain scale
CPOT
What does a relaxed facial expression score on the Critical Care Pain Observation Tool?
0
Indicates no muscular tension observed.
CPOT
What facial movements indicate a score of 1 on the Critical Care Pain Observation Tool?
Tense facial expression with frowning, brow lowering, orbit tightening
Includes levator contraction.
CPOT
What score indicates grimacing in facial expression?
2
Involves all previous facial movements plus eyelids tightly closed.
CPot
What behavior is observed for a score of 0 in body movements?
Absence of movements
Does not necessarily mean absence of pain.
CPOT
What body movement behaviors score a 1 on the Critical Care Pain Observation Tool?
Protection, slow cautious movements
Includes touching or rubbing the pain site.
CPOT
What body movement behaviors indicate a score of 2?
Restlessness, pulling tubes, thrashing
Involves not following commands or striking at staff.
CPOT
What does a score of 0 indicate in muscle tension evaluation?
No resistance to passive movements
Shows relaxed state.
CPOT
What score indicates strong resistance to passive movements?
2
Inability to complete passive movements.
CPOT
What score on the Critical Care Pain Observation Tool indicates alarms not activated?
0
Reflects easy ventilation.
CPOT
What does a score of 1 indicate regarding compliance with the ventilator?
Coughing but tolerating
Applies to intubated patients.
CPOT
What vocalization behavior scores a 2 for extubated patients?
Crying out, sobbing
Indicates significant distress.
CPOT
What is the total score range for the Critical Care Pain Observation Tool?
0–8
Higher scores indicate greater pain or distress.
CPOT 4 areas to be evaluated?
Facial expression, body movements, muscle tension, compliance with the ventilator either intubated or extubated
PAINAD categories?
breathing, negative vocalization, facial expression, body language, consolability
Cheyne stokes respiration is included in PAINAD what area and what score?
score 2
breathing
also long period of hyperventilation or noisy labored breathing qualifies for 2
What does a score of 0 indicate for Breathing in the PAINAD Scale?
Normal
Indicates no labored breathing.
What does a score of 1 indicate for Negative Vocalization in the PAINAD Scale?
Occasional moan/groan
Indicates low-level speech with a negative or disapproving quality.
What facial expression corresponds to a score of 0 in the PAINAD Scale?
Smiling or inexpressive
Indicates no signs of distress or pain.
What does a score of 2 indicate for Body Language in the PAINAD Scale?
Rigid, fists clenched, knees pulled up, striking out, pulling or pushing away
Indicates significant distress and discomfort.
What does a score of 0 indicate for Consolability in the PAINAD Scale?
No need to console
Indicates the individual is calm and not in pain.
What is the total score range for the PAINAD Scale?
0-10 points
A higher score indicates greater pain severity.
What does a total score of 1-3 indicate in the PAINAD Scale?
Mild pain
Indicates the lowest level of pain severity.
What does a total score of 4-6 indicate in the PAINAD Scale?
Moderate pain
Indicates a noticeable level of discomfort.
What does a total score of 7-10 indicate in the PAINAD Scale?
Severe pain
Indicates the highest level of distress.
What type of breathing corresponds to a score of 2 in the PAINAD Scale?
Noisy labored breathing
Indicates significant respiratory distress.
What kind of facial expression is associated with a score of 1 in the PAINAD Scale?
Sad, frightened, frown
Indicates some signs of emotional distress.
Fill in the blank: A score of _____ indicates long periods of hyperventilation in the PAINAD Scale.
2
Indicates severe respiratory distress.
True or False: The PAINAD Scale has been substantiated in the literature for its scoring ranges.
False
The scoring ranges have not been substantiated in the literature.
