Children's Hospital of Eastern Ontario Pain Scale

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Introduction[edit | edit source]

The Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) is a post-operative pain rating scale. [1]

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] There is also a link to a PDF version in the Resources section below.

Parameter 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]

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. [2]

Resources[edit | edit source]

References[edit | edit source]

  1. 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. 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! (22/10/2022)