Description

The Pain Observation Scale for Young Children (abbreviated to POCIS, probably from the Dutch) is intended to evaluate pain in children aged from 1 to 4 years of age. It can be used to assess pain of short or long duration. The work was primarily done at the University of Amsterdam in the Netherlands.


 

Parameters:

(1) facial expression

(2) cry

(3) breathing

(4) torso

(5) arms and fingers

(6) legs and toes

(7) state of arousal

Parameter

Finding

Points

facial expression

neutral

0

 

grimace (negative)

1

cry

no cry

0

 

moan. scream

1

breathing

relaxed and regular

0

 

irregular and indrawn

1

torso

at rest, inactive

0

 

tense, shivering

1

arms and fingers

at rest, relaxed

0

 

tense, restless

1

legs and toes

at rest, relaxed

0

 

tense, restless

1

arousal

calm, sleepy

0

 

fussy

1

after Table 2, page 225, Boelen (1999)

 

pain observation scale =

= SUM(points for all 7 parameters)

 

Interpretation:

• minimum score: 0

• maximum score: 7

• The greater the score, the greater the discomfort that the child is in.

 


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