The Douleur Aigue du Nouveau-ne (DAN) is an acute pain rating score for neonates based on observation of behavior. It shows good inter-observer agreement and high intercorrelation of items.
Observational measures:
(1) facial expression
(2) limb movements
(3) vocal expression
|
Measure |
Finding |
Points |
|
facial expression |
calm |
0 |
|
|
snivels and alternates gentle eye opening and closing |
1 |
|
|
intensity mild and intermittent with return to calm |
2 |
|
|
intensity moderate |
3 |
|
|
intensity very pronounced, continuous |
4 |
|
limb movements |
calm or gentle movements |
0 |
|
|
intensity mild and intermittent with return to calm |
1 |
|
|
intensity moderate |
2 |
|
|
intensity very pronounced, continuous |
3 |
|
vocal expression (nonintubated) |
no complaints |
0 |
|
|
moans briefly |
1 |
|
|
intermittent crying |
2 |
|
|
long-lasting crying, continuous howl |
3 |
|
vocal expression (intubated) |
no complaints |
0 |
|
|
looks anxious or uneasy |
1 |
|
|
gesticulations of intermittent crying |
2 |
|
|
gesticulations of continuous crying |
3 |
where:
• facial expression intensity is based on one or more of the following: eye squeeze, brow bulge, nasolabial furrow
• limb movement intensity is based on one or more of the following: pedals feet, toes spread, legs tensed and pulled up, agitation of arms, withdrawal reaction
DAN =
= SUM(points for the 3 measures)
Interpretation:
• minimum score: 0 (no pain)
• maximum score: 10 (maximum pain)
Specialty: Pedatrics
ICD-10: ,
