Further assessment of a behavioural pain scale or Dolousi Pain ...
Further assessment of a behavioural pain scale or Dolousi Pain ...
Further assessment of a behavioural pain scale or Dolousi Pain ...
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Motricity<br />
1<br />
2<br />
3<br />
4<br />
Quiet, relaxed, comf<strong>or</strong>table<br />
No defensive movements during nursing and investigations<br />
Restless, intentional moving without strength <strong>or</strong> aggression, easily calmed<br />
by verbal <strong>or</strong> tactile mediation<br />
Agitated: frequent uncontrolled movements intended to escape nursing and<br />
investigations; requiring bonds<br />
Severely agitated: brutal flexion and stiff crispation <strong>of</strong> extremities to escape<br />
nursing, fists clenched, pulls out catheters and bites tube<br />
5<br />
Combative: violent retractions, stiff defensive movements immediately<br />
dangerous f<strong>or</strong> the environment and f<strong>or</strong> himself, risks falling out <strong>of</strong> bed<br />
Tears<br />
1 No tears<br />
2 Presence <strong>of</strong> tears<br />
Minimum sc<strong>or</strong>e: 4 – Maximum sc<strong>or</strong>e: 15
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