ChecklistPainBehavior-v1.0(2017EN): verschil tussen versies

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Regel 3: Regel 3:
Version: '''1.0''' <br>
Version: '''1.0''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2017''' <br>
Release: '''2017''' <br>
Release status: Prepublished<br>
Release status: Prepublished<br>
Publication date: 04-09-2017
Release date: 04-09-2017
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
Regel 91: Regel 91:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: ChecklistPainBehavior-v1.0Model(EN).png | center]]
<imagemap> Bestand:ChecklistPainBehavior-v1.0Model(EN).png | center  
rect 672 35 792 89 [[#11763]]
rect 672 111 792 165 [[#11761]]
rect 672 265 792 319 [[#11764]]
rect 215 111 335 165 [[#11753]]
rect 214 35 334 89 [[#11752]]
rect 365 345 484 400 [[#11751]]
rect 442 35 560 137 [[#11754]]
rect 529 345 648 400 [[#11762]]
rect 441 200 561 280 [[#11757]]
rect 673 342 793 396 [[#11767]]
rect 216 343 336 397 [[#11768]]
rect 672 190 792 244 [[#11769]]
rect 216 266 336 320 [[#11770]]
rect 215 189 335 243 [[#11771]]
desc none
</imagemap>
<BR>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
Regel 97: Regel 113:
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:12.17.1
||NL-CM:12.17.1
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: ChecklistPijnGedrag">[[Bestand: arrowdown.png | 10px]]ChecklistPainBehaviour</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=11757 Title="NL: ChecklistPijnGedrag">[[Bestand: arrowdown.png | 10px | link=]]ChecklistPainBehaviour</span>
|
|
|Root concept of the ChecklistPainBehaviour information model. This root concept contains all data elements of the ChecklistPainBehaviour information model.
|Root concept of the ChecklistPainBehaviour information model. This root concept contains all data elements of the ChecklistPainBehaviour information model.
Regel 105: Regel 121:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.2
||NL-CM:12.17.2
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px]]TotalScore</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11754 Title="NL: TotaalScore">[[Bestand: arrowright.png | 10px | link=]]TotalScore</span>
|0..1
|0..1
|The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
|The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
Regel 114: Regel 130:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.3
||NL-CM:12.17.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Gezicht">[[Bestand: arrowright.png | 10px]]Face</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11752 Title="NL: Gezicht">[[Bestand: arrowright.png | 10px | link=]]Face</span>
|0..1
|0..1
|Tense face; one or more muscles in the face are tensed.  
|Tense face; one or more muscles in the face are tensed.  
Regel 123: Regel 139:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.4
||NL-CM:12.17.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Mond">[[Bestand: arrowright.png | 10px]]Mouth</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11753 Title="NL: Mond">[[Bestand: arrowright.png | 10px | link=]]Mouth</span>
|0..1
|0..1
| Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside.
| Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside.
Regel 132: Regel 148:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.5
||NL-CM:12.17.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Grimas">[[Bestand: arrowright.png | 10px]]Grimace</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11771 Title="NL: Grimas">[[Bestand: arrowright.png | 10px | link=]]Grimace</span>
|0..1
|0..1
| Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth.
| Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth.
Regel 141: Regel 157:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.6
||NL-CM:12.17.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: VerdrietigeBlik">[[Bestand: arrowright.png | 10px]]Looking sad</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11770 Title="NL: VerdrietigeBlik">[[Bestand: arrowright.png | 10px | link=]]Looking sad</span>
|0..1
|0..1
| Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout.
| Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout.
Regel 150: Regel 166:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.7
||NL-CM:12.17.7
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Ogen">[[Bestand: arrowright.png | 10px]]Eyes</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11768 Title="NL: Ogen">[[Bestand: arrowright.png | 10px | link=]]Eyes</span>
|0..1
|0..1
| Eyes squeezed
| Eyes squeezed
Regel 160: Regel 176:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.8
||NL-CM:12.17.8
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Paniek">[[Bestand: arrowright.png | 10px]]Panic</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11763 Title="NL: Paniek">[[Bestand: arrowright.png | 10px | link=]]Panic</span>
|0..1
|0..1
| Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance.
| Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance.
Regel 170: Regel 186:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.9
||NL-CM:12.17.9
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Kreunen">[[Bestand: arrowright.png | 10px]]Moaning</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11761 Title="NL: Kreunen">[[Bestand: arrowright.png | 10px | link=]]Moaning</span>
|0..1
|0..1
|Moaning, groaning; monotonous sound on plaintive tone  
|Moaning, groaning; monotonous sound on plaintive tone  
Regel 179: Regel 195:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.10
||NL-CM:12.17.10
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Huilen">[[Bestand: arrowright.png | 10px]]Cry</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11769 Title="NL: Huilen">[[Bestand: arrowright.png | 10px | link=]]Cry</span>
|0..1
|0..1
| Cries softly; crying is accompanied by a shocking breath.
| Cries softly; crying is accompanied by a shocking breath.
Regel 188: Regel 204:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.11
||NL-CM:12.17.11
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Onrustgeluiden">[[Bestand: arrowright.png | 10px]]SoundsOfRestlessness</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11764 Title="NL: Onrustgeluiden">[[Bestand: arrowright.png | 10px | link=]]SoundsOfRestlessness</span>
|0..1
|0..1
|Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as "au" or "you hurt me'.
|Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as "au" or "you hurt me'.
Regel 197: Regel 213:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px]]
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:12.17.12
||NL-CM:12.17.12
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Tranen">[[Bestand: arrowright.png | 10px]]Tears</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11767 Title="NL: Tranen">[[Bestand: arrowright.png | 10px | link=]]Tears</span>
|0..1
|0..1
| Tears: child produces tears in at least one eye, so more than just watery eyes.
| Tears: child produces tears in at least one eye, so more than just watery eyes.
Regel 206: Regel 222:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:12.17.13
||NL-CM:12.17.13
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px]]ScoreDateTime</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11751 Title="NL: ScoreDatumTijd">[[Bestand: arrowright.png | 10px | link=]]ScoreDateTime</span>
|1
|1
|The date and time at which the CPB score was determined.
|The date and time at which the CPB score was determined.
Regel 215: Regel 231:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px]]
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:12.17.14
||NL-CM:12.17.14
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11762 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|0..1
|A comment on the circumstances during the measurement.
|A comment on the circumstances during the measurement.
Regel 236: Regel 252:
{|class="wikitable" width="451px" style= "font-size: 9.5pt;"
{|class="wikitable" width="451px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #1F497D; width: 100%; color: #FFFFFF; font-weight: bold; "|ChecklijstPijnGedrag
|colspan="2" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Checklijst</b></font><font color=#FFFFFF><b>PijnGedrag</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 55%; "|ScoreDatumTijd
| style="width: 55%; "|ScoreDatumTijd
Regel 283: Regel 299:
3. Onderbouwing richtlijn Signaleren van Pijn bij mensen met een verstandelijke beperking” V&amp;VN, februari 2015 [Online] Beschikbaar op<font color="#0000ff"><u>https://www.venvn.nl/Portals/1/Nieuws/2015%20documenten/Multidisciplinaire%20richtlijn%20Signaleren%20van%20pijn%20bij%20mensen%20met%20een%20verstandelijke%20beperking.pdf</u></font> [Geraadpleegd: 21 december 2016]
3. Onderbouwing richtlijn Signaleren van Pijn bij mensen met een verstandelijke beperking” V&amp;VN, februari 2015 [Online] Beschikbaar op<font color="#0000ff"><u>https://www.venvn.nl/Portals/1/Nieuws/2015%20documenten/Multidisciplinaire%20richtlijn%20Signaleren%20van%20pijn%20bij%20mensen%20met%20een%20verstandelijke%20beperking.pdf</u></font> [Geraadpleegd: 21 december 2016]


==This information model in other releases==
---
==More on this information model==
==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.12.17] <BR>
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.12.17&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=StructureDefinition [[File:fhir.png|link=]]]</li>
</ul>
This information model is also available as [[Media:nl.zorg.ChecklistPainBehavior-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ChecklistPainBehavior-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
This information model is also available as [[Media:nl.zorg.ChecklistPainBehavior-v1.0(2017EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.ChecklistPainBehavior-v1.0(2017EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 <BR>
The information in this wikipage is based on Prerelease 2017 #1 <BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
This page is generated on 28/09/2017 11:18:15 <BR>
This page is generated on 30/11/2017 13:24:20 <BR>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

Versie van 30 nov 2017 13:28

General information

Name: nl.zorg.ChecklistPainBehavior NL.png
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

Back 16.png Back to HCIM list

Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 1-12-2016
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name zorg
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.12.17
DCM::KeywordList Pijnscore, assessment, CPG
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.ChecklistPijngedrag
DCM::PublicationDate 04-09-2017
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 04-09-2017
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017).

Concept

The CPB (Checklist Pain Behaviour) is a pain assessment tool, that is used to assess pain in children with a limited expressive repertoire or with a profound cognitive impairment, by observing their behaviour
The CPB has ten observations that need te be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with a VAS score that is completed by the nurses on basis of clinical experience.

Purpose

A pain assessment tool is an instrument for determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For children with a limited expressive repertoire it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain observation instrument remains a snapshot in time.

Evidence Base


For determining the degree of pain in children with difficulty expressing themselves there are divers pain observation instruments available

  • CPB
  • Comfort behaviour scale/ Comfortneo scale
  • Flacc

Patient Population

The pain assessment tool CPB is developed for children with limited expressive repertoire or a profound cognitive impairment.

Information Model


#11763#11761#11764#11753#11752#11751#11754#11762#11757#11767#11768#11769#11770#11771ChecklistPainBehavior-v1.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.17.1 Arrowdown.pngChecklistPainBehaviour Root concept of the ChecklistPainBehaviour information model. This root concept contains all data elements of the ChecklistPainBehaviour information model.
INT.png NL-CM:12.17.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
INT.png NL-CM:12.17.3 Arrowright.pngFace 0..1 Tense face; one or more muscles in the face are tensed.
INT.png NL-CM:12.17.4 Arrowright.pngMouth 0..1 Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside.
INT.png NL-CM:12.17.5 Arrowright.pngGrimace 0..1 Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth.
INT.png NL-CM:12.17.6 Arrowright.pngLooking sad 0..1 Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout.
INT.png NL-CM:12.17.7 Arrowright.pngEyes 0..1 Eyes squeezed

Note: Do NOT score as present when the child is blinking or when the eyes are still closed without blinking.

INT.png NL-CM:12.17.8 Arrowright.pngPanic 0..1 Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance.

This may be associated with an anxious look characterized by large widely opened eyes and eyebrows which are on the inner side raised up.

INT.png NL-CM:12.17.9 Arrowright.pngMoaning 0..1 Moaning, groaning; monotonous sound on plaintive tone
INT.png NL-CM:12.17.10 Arrowright.pngCry 0..1 Cries softly; crying is accompanied by a shocking breath.
INT.png NL-CM:12.17.11 Arrowright.pngSoundsOfRestlessness 0..1 Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as "au" or "you hurt me'.
INT.png NL-CM:12.17.12 Arrowright.pngTears 0..1 Tears: child produces tears in at least one eye, so more than just watery eyes.
TS.png NL-CM:12.17.13 Arrowright.pngScoreDateTime 1 The date and time at which the CPB score was determined.
ST.png NL-CM:12.17.14 Arrowright.pngComment 0..1 A comment on the circumstances during the measurement.
48767-8 Annotation comment

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

ChecklijstPijnGedrag
ScoreDatumTijd 19-12-2016, 10.45 uur
Gespannen gezicht 1
Lijn tussen neus en mondhoek dieper 0
Grimas 1
Verdrietige blik, bijna in tranen 0
Ogen dicht knijpen 1
Paniekerig, paniek reactie 1
Kreunen, jammeren 1
Huilen, snikken 0
Indringende onruistgeluiden 1
Tranen 0
Totaalscore 6
Toelichting pijn gemeten i.v.m. toegenomen onrust

References

1. Pijnobservatielijst CPG – Checklist pijngedrag [Online] Beschikbaar op:http://www.kennispleingehandicaptensector.nl/gehandicaptenzorg/Pijnobservatielijst_CPG_Checklist_pijngedrag [Geraadpleegd: 1 december 2016] 2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx [Geraadpleegd: 21 december 2016] 3. Onderbouwing richtlijn Signaleren van Pijn bij mensen met een verstandelijke beperking” V&VN, februari 2015 [Online] Beschikbaar ophttps://www.venvn.nl/Portals/1/Nieuws/2015%20documenten/Multidisciplinaire%20richtlijn%20Signaleren%20van%20pijn%20bij%20mensen%20met%20een%20verstandelijke%20beperking.pdf [Geraadpleegd: 21 december 2016]

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About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2017 13:24:20

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