Calculator for Assessment of Pain in Nonverbal elderly

Observation before treatment
1) Facial expression: look and expression
2) Spontaneous position at rest
(looking for an analgesic attitude or position)
3) Movements (or mobility) of the patient
(outside and/or in bed)
* refer to the previous day(s)
** or prostration

4) Relationship with others

It is about any relationship, whatever the type: look, gesture, expression...
* refer to the previous day(s)
Observation during treatment
5) Anxious anticipation of care
6) Reactions during mobilization
7) Reactions during treatment of painful areas
8) Complaints expressed during treatment

Result :

Definition of Assessment of Pain in Nonverbal elderly

Behavioral assessment of pain in the non-communicating elderly. (before and during treatment)

- It is used in the second intention after the failure of the self-assessment. It avoids an underestimation of pain by making it possible to detect, quantify and monitor the evolution of the patient's pain.

- It is a quick scale that allows repeated and close measurements.

Interpretation of the result: Assessment of Pain in Nonverbal elderly

The scale includes 8 items with 5 response modalities rated from 0 to 4. Each level represents an increasing degree of pain and is exclusive of the others for the same item. The total score, therefore, varies from 0 (no pain) to 32 (total pain).

The only but essential precaution is to score the “Observation before treatment” dimension really before the treatment and not from memory after it. There would then be contamination of the second dimension on the first. Painful scoring has no restrictive framework: you can score at any time.