Adult Nonverbal Pain Scale

Purpose: To determine the level of pain being experienced by a nonverbal adult in the intensive care unit (ICU) using the scale of Odhner et al.

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Evaluation

Are you evaluating a nonverbal adult in the ICU?

Yes

Baseline heart rate

beats per minute

Heart rate during past 4 hours

beats per minute

Baseline respiratory rate

breaths per minute

Respiratory rate during past 4 hours

breaths per minute

Baseline systolic blood pressure

mm Hg

Systolic blood pressure over the past 4 hours

mm Hg

Select an appropriate answer for each finding

Grimacing, tearing, wrinkled forehead

Activity and movements

Guarding

Pain response

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Total score

Number of level 2 responses

Number of level 1 responses

Number of non-pain responses

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
- Risk Factors for Inadequate Pain Management in Elderly Patient
- Hyperalgesia Associated with Alcohol or Opioid Withdrawal
Clinical Diagnosis, Including Family History For Genetics
- Clinical Features of Nociceptive Central Pain
- Pain Catastrophizing
Other Testing
- Pain Intensity Difference Evaluation
- Hyperalgesia Associated with Alcohol or Opioid Withdrawal
Criteria For Diagnosis
Severity, Prognosis, Stage

Therapy

Options
- Risk Factors for Inadequate Pain Management in Elderly Patient
- Celiac Plexus Neurolysis for Controlling Pain Associated with Pancreatic Cancer
Dosage Adjustments
- Risk Factors for Inadequate Pain Management in Elderly Patient

Monitoring

Response To Therapy
Adverse Effects
- Risk Factors for Inadequate Pain Management in Elderly Patient

Patient Concerns

Disability And Performance
- Pain Disability Index (PDI)
- Critical Care Pain Observation Tool (CPOT)
Quality Of Life
- Therapeutic Response to Pregabalin on Ability of Patient with Fibromyalgia to Work
Psychological Response
- Pain Catastrophizing
Social Activities, Family And Friends
- Therapeutic Response to Pregabalin on Ability of Patient with Fibromyalgia to Work
End-of-life, Palliative Care
- EAPC Algorithm for Evaluating Episodic (Breakthrough) Cancer Pain
- Breakthrough Pain

Specialty

Sports Medicine & Rehabilitation

Objective

severity
prognosis
stage

ICD-10

F45.4 - Persistent somatoform pain disorder

Info

Purpose: To determine the level of pain being experienced by a nonverbal adult in the intensive care unit (ICU) using the scale of Odhner et al.

Specialty: Sports Medicine & Rehabilitation

Objective: severity, prognosis, stage

ICD-10: F45.4,

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