Behavior Pain Scale
The Behavior Pain Scale ( in German abbreviated behavioral pain scale) BPS is a scale for (foreign) assessment of the pain level in patients who can not communicate. It is considered a standard medical method for recording the degree of pain and is often used in intensive care units.
application
The application is based on the clinical assessment of the patient based on the parameters listed in the table, if methods such as the numerical rating scale , visual analogue scale or verbal rating scale are not applicable due to a mental limitation or artificial ventilation of the patient. In intensive care units, the patient's degree of pain should be determined several times a day. It is supplemented by an assessment of the sedation on a suitable scale, e.g. B. Richmond Agitation Sedation Scale or Ramsay Scale . A total of the individual points less than or equal to six is aimed for.
scale
| feature | description | Points |
|---|---|---|
| Facial expression | relaxed | 1 |
| partially tense | 2 | |
| very tense | 3 | |
| Grimacing | 4th | |
| Upper extremity (arm) | No movement | 1 |
| Partial movement | 2 | |
| Tighten with movement of the fingers | 3 | |
| Constant tightening | 4th | |
| Adaptation to ventilator | Toleration | 1 |
| Rare cough | 2 | |
| Struggling with the ventilator | 3 | |
| Controlled ventilation not possible | 4th |
reliability
The validity and reliability of the BPD has been proven in several examinations in different patient collectives, shows a high degree of agreement among different examiners ( interrater reliability ) and is suitable for assessing the progression.
See also
Individual evidence
- ↑ a b JF Payen et al .: Assessing pain in critically ill sedated patients by using a behavioral pain scale . In: Crit Care Med , 2001, 29, pp. 2258-2263.
- ↑ S3- guideline for analgesia, sedation and delirium management in intensive care medicine of the DGAI and DIVI . In: AWMF online (as of 12/2009)
- ↑ Y Aissaoui, AA Zeggwagh, A Zekraoui, K Abidi, R. Abouqal: Validation of a behavioral pain scale in critically ill, sedated, and mechanically ventilated patients . In: Anesth Analg , 2005, 101 (5), 1470-1476.
- ↑ J Young, J Siffleet, S Nikoletti, T. Shaw: Use of a Behavioral Pain Scale to assess pain in ventilated, unconscious and / or sedated patients . In: Intensive Crit Care Nurs , 2006, 22 (1), pp. 32-39
