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The pain assessment tool, CPOT is based on four domains: the patient's facial expressions, body movements, compliance with ventilator (or voice use for non-intubated patients), and muscle tension (16). Each domain has a possible score of 0 to 2.
The Behavioral Pain Scale (BPS) and the Critical\u2010Care Pain Observation Tool (CPOT) are the most valid and reliable behavioral pain scales for assessing pain in adult, ICU patients unable to communicate pain.
1. The patient must be observed at rest for one minute to obtain a baseline value of the CPOT. 2. Then, the patient should be observed during nociceptive procedures (e.g. turning, wound care) to detect any changes in the patient's behaviors to pain.
For intubated and mechanically ventilated patients, examine the endotracheal tube (ETT) position both on exam (eg, 21 cm at the lips) and on chest x-ray (CXR) (eg, ETT tip 5 cm above the carina) and review the ventilator settings and the output information.
The CPOT was developed for the assessment of pain in critically ill patients. The scale consists of four behavioral domains: facial expression, body movements, muscle tension and compliance with the ventilation for intubated patients or vocalization for extubated patients.
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Behavioral pain scale (BPS) It evaluates three behavioral domains (facial expressions, movement of upper limbs, and compliance with ventilation)64 and it is valid in different languages53,58,64\u201374 and samples35,75\u201378 (Table 1).
A visually enlarged 0\u201310 linear numeric rating scale (NRS) has been determined to be the most valid and reliable self-report pain intensity scale for use with ICU patients (Chanques et al. 2010).
FLACC is a behavioral pain assessment scale used for nonverbal or preverbal patients who are unable to self-report their level of pain. Pain is assessed through observation of 5 categories including face, legs, activity, cry, and consolability.
The CPOT can be used to assess intubated or sedated patients pain based on facial expressions, muscle tension and movement as well as compliance with ventilated breaths for intubated patients or vocalized pain for non-intubated patients.
Critical-Care Pain Observation Tool (CPOT)

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