Wilson and Doyle used a modification of the Objective Pain Score (OPS) to assess pain in children. It is intended for evaluation of post-operative pain and can be used by the child's parents.
Age of children studied: 2 to 11 years of age
Parameters used in score:
(1) crying
(2) movement
(3) agitation
(4) posture
(5) verbal
This differs from the OPS of Broadman et al by substituting posture assessment for blood pressure.
|
Criteria |
Finding |
Points |
|
crying |
none |
0 |
|
|
consolable |
1 |
|
|
not consolable |
2 |
|
movement |
none |
0 |
|
|
restless |
1 |
|
|
thrashing |
2 |
|
agitation |
asleep |
0 |
|
|
calm |
0 |
|
|
mild |
1 |
|
|
hysterical |
2 |
|
posture |
normal |
0 |
|
|
flexed |
1 |
|
|
holds injury site |
2 |
|
verbal |
asleep |
0 |
|
|
no complaint |
0 |
|
|
complains but cannot localize |
1 |
|
|
complains and can localize |
2 |
where:
• Table 1 in Wilson and Doyle, under posture, have "holds groin/throat". Children in study had either hernia repair or tonsillectomy.
objective pain score =
= SUM(points for all 5 parameters)
Interpretation:
• minimum score: 0
• maximum score: 10
• The higher the score, the greater the pain experience for the child.
Limitations:
• The score would appear to have some limits for use in preverbal children, but could be modified for this population.
• Physicians tend to give slightly lower scores than parents.
Specialty: Pedatrics
ICD-10: ,
