Children's Hospital of Eastern Ontario Pain Scale: Difference between revisions
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== Introduction == | == Introduction == | ||
The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) is a post-operative pain rating scale. <ref name=":0">Zielinski Jakub, Morawska-Kochman Monika, Zatonski Tomasz. Pain assessment and management in children in the postoperative period: A review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Advances in Clinical and Experimental Medicine. 2020:29(3):1-10.</ref> | The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) is a post-operative observational pain rating scale. <ref name=":0">Zielinski Jakub, Morawska-Kochman Monika, Zatonski Tomasz. Pain assessment and management in children in the postoperative period: A review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Advances in Clinical and Experimental Medicine. 2020:29(3):1-10.</ref><ref name=":1">Crellin Dianne, Sullivan Thomas P, Babl Franz E, O'Sullivan Ronan, Hutchinson Adrian. Analysis of the validation of existing behavioral | ||
pain and distress scales for use in the procedural setting. Pediatric Anesthesia. 2007: 17:720–733 </ref> | |||
== Audience == | == Audience == | ||
| Line 18: | Line 20: | ||
== The CHEOPS Scale == | == The CHEOPS Scale == | ||
Here is an Outline of the CHEOPS | Here is an Outline of the CHEOPS scale. <ref name=":0" /> As can be seen on the left column, there are six different behavioural characteristics that are assessed on the CHEOPS scale. <ref name=":1" /> | ||
There is also a link to a PDF version in the Resources section below. | |||
{| class="wikitable" | {| class="wikitable" | ||
|+ | |+ | ||
! | !Behavioural Characteristic | ||
!Criteria | !Criteria | ||
!Score | !Score | ||
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|} | |} | ||
As can be seen from the table, the minimum score is 4 and the maximum score is 13. A score ≥ 5 should be considered sufficient to administer an analgesic to the child, where a score of ≥ 8 makes it a requirement to administer an analgesic to the child. <ref name=":0" /> | As can be seen from the table, the minimum score is 4 and the maximum score is 13. A score ≥ 5 should be considered sufficient to administer an analgesic to the child, where a score of ≥ 8 makes it a requirement to administer an analgesic to the child. <ref name=":0" /> | ||
The responses are assessed in period of 5 seconds to observe the child's behavior, and then 25 seconds are allotted to record the score. <ref name=":1" /> | |||
== Development and Validation == | |||
The scale was developed preceding consultations with experienced Postanesthesia Care Unit (PACU) Nurses. <ref name=":1" /> | |||
== Limitations == | == Limitations == | ||
Since this scale is designed to be administered in the children population without any neurological conditions, it is not applicable to be administered in in the children population with any cognitive impairments. the CHEOPS scale is not suitable for these types of patients, since the level of cognitive impairment markedly impacts pain behavior more than that can be measured by the CHEOPS scale. <ref>Massaro Marta, Ronfani Luca, Ferrara Giovanna, Badina Laura, Giorgi Rita, D'Osualdo Flavio, Taddio Andrea, Barbie Egidio. A comparison of three scales for measuring pain in children with cognitive | |||
impairment. Foundation Acta Pædiatrica. 2014: 103:495-500. </ref> | |||
Despite the CHEOPS scale having good validity and reliability for post-operative pain conditions, it has not been validated for assessing acute procedural pain, although it has been used, in studies, to assess procedural pain. <ref name=":1" /> | |||
== Resources == | == Resources == | ||
Revision as of 00:07, 24 October 2022
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (24/10/2022)
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Introduction[edit | edit source]
The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) is a post-operative observational pain rating scale. [1][2]
Audience[edit | edit source]
This scale is designed for young children from ages 1-7. [1]
Administering the Scale[edit | edit source]
The scale should be administered every 3 hours, 15-20 minutes after intravenous analgesics are delivered, and 30-45 minutes after oral or rectal analgesics are delivered. [1]
The CHEOPS Scale[edit | edit source]
Here is an Outline of the CHEOPS scale. [1] As can be seen on the left column, there are six different behavioural characteristics that are assessed on the CHEOPS scale. [2]
There is also a link to a PDF version in the Resources section below.
| Behavioural Characteristic | Criteria | Score | Definition |
|---|---|---|---|
| Cry | |||
| Facial | |||
| Child Verbal | |||
| Torso | |||
| Touch | |||
| Legs |
As can be seen from the table, the minimum score is 4 and the maximum score is 13. A score ≥ 5 should be considered sufficient to administer an analgesic to the child, where a score of ≥ 8 makes it a requirement to administer an analgesic to the child. [1]
The responses are assessed in period of 5 seconds to observe the child's behavior, and then 25 seconds are allotted to record the score. [2]
Development and Validation[edit | edit source]
The scale was developed preceding consultations with experienced Postanesthesia Care Unit (PACU) Nurses. [2]
Limitations[edit | edit source]
Since this scale is designed to be administered in the children population without any neurological conditions, it is not applicable to be administered in in the children population with any cognitive impairments. the CHEOPS scale is not suitable for these types of patients, since the level of cognitive impairment markedly impacts pain behavior more than that can be measured by the CHEOPS scale. [3]
Despite the CHEOPS scale having good validity and reliability for post-operative pain conditions, it has not been validated for assessing acute procedural pain, although it has been used, in studies, to assess procedural pain. [2]
Resources[edit | edit source]
- A PDF version of the Children's Hospital of Eastern Ontario Pain Scale can be found at the link.
References[edit | edit source]
- ↑ 1.0 1.1 1.2 1.3 1.4 Zielinski Jakub, Morawska-Kochman Monika, Zatonski Tomasz. Pain assessment and management in children in the postoperative period: A review of the most commonly used postoperative pain assessment tools, new diagnostic methods and the latest guidelines for postoperative pain therapy in children. Advances in Clinical and Experimental Medicine. 2020:29(3):1-10.
- ↑ 2.0 2.1 2.2 2.3 2.4 Crellin Dianne, Sullivan Thomas P, Babl Franz E, O'Sullivan Ronan, Hutchinson Adrian. Analysis of the validation of existing behavioral pain and distress scales for use in the procedural setting. Pediatric Anesthesia. 2007: 17:720–733
- ↑ Massaro Marta, Ronfani Luca, Ferrara Giovanna, Badina Laura, Giorgi Rita, D'Osualdo Flavio, Taddio Andrea, Barbie Egidio. A comparison of three scales for measuring pain in children with cognitive impairment. Foundation Acta Pædiatrica. 2014: 103:495-500.
This article or area is currently under construction and may only be partially complete. Please come back soon to see the finished work! (24/10/2022)
