| ARCHETYPE ID | openEHR-EHR-OBSERVATION.bpsni.v0 |
|---|---|
| Concept | BPSNI |
| Description | Assess pain intensity in patients who are not ventilated, but who are unable to clearly express themselves verbally due to cognitive and/or consciousness impairments. |
| Use | Used to record the result for the Behavior Pain Scale No intubated (BPS-NI). |
| Misuse | Not to be used for CPOT scale |
| Purpose | To record the result for the Behavior Pain Scale No intubated (BPS-NI). |
| References | 1. Pinheiro, A. R. P. Q., & Marques, R. M. D. (2019). Behavioral Pain Scale and Critical Care Pain Observation Tool for pain evaluation in orotracheally tubed critical patients. A systematic review of the literature. Behavioral Pain Scale e Critical Care Pain Observation Tool para avaliação da dor em pacientes graves intubados orotraquealmente. Revisão sistemática da literatura. Revista Brasileira de terapia intensiva, 31(4), 571–581. https://doi.org/10.5935/0103-507X.20190070 2. Renneis L. Was leisten ZOPA und BPS/BPS-NI bei kognitiv oder bewusstseinsbeeinträchtigten Patienten? intensiv 2022; 30: 193–198. Thieme |
| Copyright | © HiGHmed |
| Authors | Author name: Rony Ventura Organisation: UKSH Email: rony.ventura@uksh.de Date originally authored: 2025-07-23 |
| Other Details Language | Author name: Rony Ventura Organisation: UKSH Email: rony.ventura@uksh.de Date originally authored: 2025-07-23 |
| Other Details (Language Independent) |
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| Keywords | Pain, Critical illness, Critical care, Behavioral Pain Scale, Critical Care Pain Observation Tool, Pain measurement, BPS |
| Lifecycle | in_development |
| UID | e3ad31ce-52d4-4f74-8731-23bbaf0c8a88 |
| Language used | en |
| Citeable Identifier | 1246.145.2449 |
| Revision Number | 0.0.1-alpha |
| events | |
| Any event | Any event: @ internal @ |
| data | |
| Facial expression | Facial expression: 1: Relaxed 2: Partially tense = brow lowering 3: Fully tense = eyelid closing 4: Grimacing |
| Upper limb | Upper limb: 1: No movement 2: Partially bent 3: Fully bent with finger flexion 4: Permanently retracted |
| Vocalization | Vocalization: 1: No verbal expression of pain 2: Occasional whining / groaning 3: Frequent whining / groaning 4: Crying, including verbal expressions of pain/holding breath |
| Score | Score: min: >=3; max: <=12 |
| Other contributors | |
| Translators |