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BEHAVIORAL PAIN SCALE

Pain Score

Pain Behaviors Restless

A None Quiet

B Mild Slightly Restless Slight Tenseness Slight Frowning/ Grimacing Sighs, Groans Moans Softly

C Moderate Moderate Restless Moderate Tenseness Moderate Frowning/ Grimacing Groans, Moans Loudly

D Severe Very Restless Extreme Tenseness Constant Frowning/ Grimacing Cries out or Sobs

Tense Muscles Frowning/ Grimacing

Relaxed

No Frowning/ Grimacing Talking in Normal Tone/ No Sound

Patient Sounds

Instructions: Observe the patient for 10 minutes. Assess the patient on the four behaviors (none-severe). Obtain a pain score based on the highest behavior observed. The John Hopkins Hospital PACU Behavioral Pain Rating Scale cited in Mateo, OM., & Krenzischeck, DA. (1992). A pilot study to assess the relationship between behavioral manifestations and self-report of pain in post-anesthesia care unit patients. Journal of Post Anesthesia Nursing. 7(1): 15-21.

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