Robieux et al developed a behavioral pain scale for use in young children during procedures such as venipuncture. It can be used to monitor the effectiveness of interventions to reduce manifested pain. It was developed as a simplified version of CHEOPS at the Hospital for Sick Children in Toronto, Canada.
Patients: infants and toddlers
Parameters:
(1) facial expression
(2) cry
(3) movements
Parameter
Finding
Points
facial expression
positive expression (smiling)
0
neutral expression
1
negative expression (grimace)
2
cry
laughing or giggling
0
not crying
1
moaning
2
full lunged cry or sobbing
3
movements
usual movements (i.e., playing)
0
neutral, not moving
1
attempt to withdraw
2
complex agitation involving head, other limbs
3
behavioral pain score =
= SUM(points for the 3 parameters)
Interpretation:
• minimum score: 0
• maximum score: 8
• The higher the score, the more severe the pain.
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