Calculator for Assessment of Pain in Nonverbal elderly

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.

Observation before treatment
1) Facial expression: look and expression
	0 - Relaxed face
	1 - Concerned face
	2 - The subject grimaces from time to time
	3 - Frightened look and/or tense face
	4 - Completely frozen expression
2) Spontaneous position at rest (looking for an analgesic attitude or position)
	0 - No analgesic position
	1 - The subject avoids a position
	2 - The subject chooses an analgesic position
	3 - The subject searches unsuccessfully for an analgesic position
	4 - The subject remains motionless as if nailed by pain
3) Movements (or mobility) of the patient (outside and/or in bed)
	0 - Subject moves or does not move as usua^*.
	1 - Subject moves, as usual,^* but avoids certain movements
	2 - Slowness, the rarity of movements contrary to his habit^*
	3 - Immobility contrary to his habit^*
	4 - Absence of movement^** or strong agitation contrary to his habit^*
^* refer to the previous day(s) ^** or prostration
4) Relationship with others It is about any relationship, whatever the type: look, gesture, expression...
	0 - Same type of contact as usual^*
	1 - Contact is more difficult to establish than usual^*
	2 - Avoids the relationship contrary to habit^*
	3 - Absence of any contact, unlike usual^*
	4 - Total indifference contrary to habit^*.
^* refer to the previous day(s)
Observation during treatment
5) Anxious anticipation of care
	0 - Subject shows no anxiety
	1 - Anxiety of the gaze, impression of fear
	2 - Restless subject
	3 - Aggressive subject
	4 - Cries, sighs, moans
6) Reactions during mobilization
	0 - The subject lets himself be mobilized without paying particular attention to it
	1 - The subject has an attentive gaze and seems to fear mobilization and care.
	2 - The subject holds back the hand or guides the gestures during mobilization or care
	3 - The subject adopts an analgesic position during mobilization or treatment
	4 - The subject opposes mobilization or treatment
7) Reactions during treatment of painful areas
	0 - No reaction during treatment
	1 - Reaction during treatment, nothing more
	2 - Reaction to touching painful areas
	3 - Reaction to touching painful areas
	4 - The approach of the zones is impossible
8) Complaints expressed during treatment
	0 - Subject does not complain
	1 - The subject complains if the caregiver addresses him
	2 - The subject complains as soon as the caregiver is present
	3 - Subject moans or cries silently spontaneously
	4 - The subject shouts or complains violently spontaneously

Calculator for Assessment of Pain in Nonverbal elderly

Definition of Assessment of Pain in Nonverbal elderly

Interpretation of the result: Assessment of Pain in Nonverbal elderly

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