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): 13-22. Process Indicator Chart Observe infant for 15 seconds Observe baseline heart rate & oxygen saturations for 30 seconds Observe infant s facial actions for 30 seconds 0 1 2 3 Gestational Age 36 weeks or more 32-35 weeks, 6 days 28-31 weeks, 6 days Less than 28 weeks Behavioural State Active, awake, eyes open, facial movement Quiet awake, eyes open, no facial movements Active sleep, eyes closed, facial movements Quiet sleep, eyes closed, no facial movements Heart Rate.
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Pain is most frequent and intense in infants admitted to the neonatal intensive care unit (NICU). Infants admitted to the NICU experience acute pain from skin-breaking procedures, short-term pain following surgery, and prolonged (chronic) pain from diseases like necrotizing enterocolitis or epidermolysis bullosa.
The FLACC scale or Face, Legs, Activity, Cry, Consolability scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0–10 with 0 representing no pain.
Numeric Rating Scale (NRS) 0-10 This scale is normally used for children over eight years old. We ask your child to rate their pain from no pain to the worst possible pain. Sometimes, many factors can go into choosing that number.
The premature infant pain profile (PIPP) is a validated pain scoring system for preterm neonates [2, 17]. For infants, non-verbal young children, and in patients with cognitive impairment, the face, legs, activity, crying, and consolability (FLACC) scale or the revised FLACC scale can be used [23–30].
The Neonatal Infant Pain Scale (NIPS) is a tool developed in the early 1990s [16] aimed to assess six behavioural reactions to painful procedures in preterm and full-term newborns. The scale was demonstrated to have high interrater reliability and internal consistency.
Score the neonate for each of the physiological and behavioural parameters, and for the nurse's perception of pain. Each item is scored from 0 to 2, and added to generate a total score out of 20 (the higher the score, the higher the level of pain).
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