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pain scale in toddler

Pediatric   (10,544 Views 6 Comments)
by Roro Roro (Member)

2,909 Profile Views; 44 Posts

I'd like to know which pain scale do we use for a child less or equal than 3 years of age. is this scale valid and reliable one?

Thank you,

Roro.

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dolphn545 specializes in Peds HH, LTC.

99 Posts; 2,308 Profile Views

there are a few different scales that are used for children. They usually have some sort of picture or smiley/frown faces on them for the child to be able to point to it.

As for accuracy - I think that would depend on the cognitive level of the child. Pain is subjective, but you should be watching for other nonverbal clues with the child as well.

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44 Posts; 2,909 Profile Views

Thank you dolphn545 for your reply, i'd like to know if the wong baker scale could be used for a toddler or what other scales can we use for toddlers?

thank you,

roro.

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EricJRN has 13 years experience as a MSN, RN and specializes in NICU.

6,663 Posts; 27,710 Profile Views

The Wong-Baker FACES Scale is used for ages 3 and up. In our NICU, we use the NIPS score. You might search for information about these other options for various ages within the 0-3 range, listed in the 6th edition of Wong's Essentials of Pediatric Nursing:

Objective Pain Score (OPS)

Children's Hospital of Eastern Ontario Pain Scale (CHEOPS)

Nurses Assessment of Pain Inventory (NAPI)

FLACC Postoperative Pain Tool

Behavioral Pain Score (BPS)

Modified Behavioral Pain Scale (MBPS)

Riley Infant Pain Scale (RIPS)

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lauron9 has 6 years experience and specializes in pediatrics.

14 Posts; 807 Profile Views

I use the NIPS scale for infants and the FLACC scale for patients too young to understand the FACES scale.

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