文档介绍:镇痛镇静评分工具
行为疼痛量表 BPS
Behavioral Pain Scale
Item
Descriptio n
Score
Facial expression
Relaxed
1
Partially tight镇痛镇静评分工具
行为疼痛量表 BPS
Behavioral Pain Scale
Item
Descriptio n
Score
Facial expression
Relaxed
1
Partially tightened (for example, brow lowering)
2
Fully tightened (for example, eyelid closing)
3
Grimacing
斗
Upper limbs
No movement
1
Partially bent
2
Fully bont with finger flexion
3
Permanently retracted
4
Complianeo with vontilation
Tolerating movement
1
Coughing but tolerating ventilation for most of the time
2
Fighting ventilator
3
Unable to control ventilation
斗
Scores from each of the three domains are summed, with a total score of 3 to 12 [15]
重症疼痛观察工具 CPOT
Critical Care Pain Observational Tool
Indicator
Description
Score
Facial! expression
No muscular tension observed
Relaxed, neutral: 0
Presence of frowning, brow lowering, orbit tightening, and levator contraction
Tense:1
All of the above facial movements plus eyelid tightly closed
Grimacing: 2
Body movements
Does not move at all (does not necessarily mean absenee of pain)
Absence of movements: 0
Slow, cautious movements, touching or rubbing the pain site, seeking attention through movements
Protection: 1
Pulling tube, attempting to sit up, moving limbs/thrashing, not following comma nds, striki ng at staff, trying to climb out