Faces Pain Scale - Revised: Difference between revisions

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== Objective ==< / div >
== Objective ==< / div >
Assessment of[[Pain Assessment|pain]]在childrenisparticularly complex considering both subjectivity of thepainexperienceandthelimits andvariability of children'scognitiveand social developmentEmmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, Lauder GR, von Baeyer CL. [https://pubmed.ncbi.nlm.nih.gov/28069521/ Validity of Simplified Versus Standard Self-Report Measures of Pain Intensity in Preschool-Aged Children Undergoing Venipuncture]. J Pain. May 2017;18(5):564-573.. The Faces Pain Scale-Revised (FPS-R) is ameasure of pain intensity. It wasadaptedfrom the Faces Pain ScaleGarra G, Singer A, Taira B, Chohan J. [https://onlinelibrary.wiley.com/doi/full/10.1111/j.1553-2712.2009.00620.x?casa_token=jlYIbH23QZUAAAAA%3At1KcIs7uS4tM9A9cZpMFz0HjZDyo-ZmDwhpsD2cENsL3zsnoFI3_dJzv9wpj8OHN6m8GwOnPKYpV69uh Validation of the Wong-Baker FACES Pain Rating Scale in Pediatric Emergency Department Patients.] Academic Emergency Medicine. 2010 Jan; 17 (1): 50-54 tomake it possible to score the sensation of pain on the widely accepted0-to-10metric. The scaleshows a close linearrelationship with [[Visual Analogue Scale|visual analog pain scale]]s(VAS)acrosstheage range of4-16年< ref > Tsze DS, Hirschfeld G, Dayan PS, Bulloch B, von Baeyer CL. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5123984/ Defining No Pain, Mild, Moderate, and Severe Pain Based on the Faces Pain Scale-Revised and Color Analog Scale in Children With Acute Pain]. Pediatric Emergency Care. Aug 2018;34(8):537-544.. It iseasy管理.< / div >
[[Pain Assessment|Pain examination]]在pediatric clientsisnot easy to analyze or understand just like in adults, due to varyingpainexperiencesand limits, and also due to diverse socialand cognitivedevelopmental milestonesEmmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, Lauder GR, von Baeyer CL. [https://pubmed.ncbi.nlm.nih.gov/28069521/ Validity of Simplified Versus Standard Self-Report Measures of Pain Intensity in Preschool-Aged Children Undergoing Venipuncture]. J Pain. May 2017;18(5):564-573.. The Faces Pain Scale-Revised (FPS-R) is a measure of pain intensity. It wasmodifiedfrom the Faces Pain ScaleGarra G, Singer A, Taira B, Chohan J. [https://onlinelibrary.wiley.com/doi/full/10.1111/j.1553-2712.2009.00620.x?casa_token=jlYIbH23QZUAAAAA%3At1KcIs7uS4tM9A9cZpMFz0HjZDyo-ZmDwhpsD2cENsL3zsnoFI3_dJzv9wpj8OHN6m8GwOnPKYpV69uh Validation of the Wong-Baker FACES Pain Rating Scale in Pediatric Emergency Department Patients.] Academic Emergency Medicine. 2010 Jan; 17 (1): 50-54 tofacilitate a more acceptable0 to 10criterion in scoring pain sensation. The scaleshares an intimate straightforwardrelationship withthe[[Visual Analogue Scale|visual analog pain scale (VAS)]] throughoutthe 4to16年age groupTsze DS, Hirschfeld G, Dayan PS, Bulloch B, von Baeyer CL. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5123984/ Defining No Pain, Mild, Moderate, and Severe Pain Based on the Faces Pain Scale-Revised and Color Analog Scale in Children With Acute Pain]. Pediatric Emergency Care. Aug 2018;34(8):537-544.. It isrelatively simple管理.< / div >


== Intended Population ==< / div >
== Intended Population ==< / div >
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== Method of Use ==< / div >
== Method of Use ==< / div >
According to the [https://www.iasp-pain.org/ International Association For The Study Of Pain] (IASP), it is a self-reported measure of pain intensity, that requireslittle equipmentlike the photocopied faces. Theabsenceof smiles and tears onthisscale is advantageous. It is particularly recommended for use with children older than 4. The clinician scores the chosen face 0, 2, 4, 6, 8, or 10, counting left to right, so "0" equals "No pain" and "10" equals "Very much pain." Make sure you do not use words like "happy" and '"sad." This scale is intended to measure how children feel inside, not how their face looks.< / div >
According to the [https://www.iasp-pain.org/ International Association For The Study Of Pain] (IASP), it is a self-reported measure of pain intensity, that requiresvery few instrumentslike the photocopied faces管理. Thelackof smiles and tears onthescale is advantageous. It is particularly recommended for use with children older than 4. The clinician scores the chosen face 0, 2, 4, 6, 8, or 10, counting left to right, so "0" equals "No pain" and "10" equals "Very much pain." Make sure you do not use words like "happy" and '"sad." This scale is intended to measure how children feel inside, not how their face looks.< / div >


== Evidence ==< / div >
== Evidence ==< / div >


=== Reliability ===< / div >
=== Reliability ===< / div >
Theindices of relative reliability showed a good agreement between the test and retest for the scale, 0.76 (95% CI 0.72-0.80).< / div >
In a study that assessed pre and post analgesia administration pain scores theindices of relative reliability showed a good agreement between the test and retest for the scale, 0.76 (95% CI 0.72-0.80).< / div >


=== Validity ===< / div >
=== Validity ===< / div >
Pearson correlations betweenthe [[Visual Analogue Scale|视觉模拟Scale (VAS)]] andFPS-Rwere found to beVAS/FPS-R: ''r''= 0.78 at 60 minutes after medication administration, showing positive and strong correlations.< / div >
In the same study that assessed pre and post analgesia administration pain scores, FPS-R was compared againstthe [[Visual Analogue Scale|VAS]] andPearson correlations between the twowere found to be r = 0.78 at 60 minutes after medication administration, showing positive and strong correlations.< / div >


=== Responsiveness ===< / div >
=== Responsiveness ===< / div >
The scale demonstrated good responsiveness to change inastudyLe May S, Ballard A, Khadra C, Gouin S; Plint, A; Villeneuve, E. [https://journals.lww.com/pain/Fulltext/2018/08000/Comparison_of_the_psychometric_properties_of_3.10.aspxA Comparison of the psychometric properties of 3 pain scales used in the pediatric emergency department: Visual Analogue Scale, Faces Pain Scale-Revised, and Colour Analogue Scale]. PAIN. 2018 Aug; 159(8): 1508-1517 that assessed pre and post analgesia administration pain scores. The mean pain scores pre-analgesia were SD = 1.82; median: 6.0; IQR: 4.0-6.0 and after analgesic administration the mean pain scores were SD = 2.31; median: 4.0; IQR: 2.0-6.0. The mean differences in pain scores were significantly lower 60 minutes after the administration of the medication (mean = −1.61, SD = 2.00, ''P'' < 0.0001) which suggests high responsiveness of the scale to pain relief.< / div >
The scale demonstrated good responsiveness to change inthestudyLe May S, Ballard A, Khadra C, Gouin S; Plint, A; Villeneuve, E. [https://journals.lww.com/pain/Fulltext/2018/08000/Comparison_of_the_psychometric_properties_of_3.10.aspxA Comparison of the psychometric properties of 3 pain scales used in the pediatric emergency department: Visual Analogue Scale, Faces Pain Scale-Revised, and Colour Analogue Scale]. PAIN. 2018 Aug; 159(8): 1508-1517 that assessed pre and post analgesia administration pain scores. The mean pain scores pre-analgesia were SD = 1.82; median: 6.0; IQR: 4.0-6.0 and after analgesic administration the mean pain scores were SD = 2.31; median: 4.0; IQR: 2.0-6.0. The mean differences in pain scores were significantly lower 60 minutes after the administration of the medication (mean = −1.61, SD = 2.00, ''P'' < 0.0001) which suggests high responsiveness of the scale to pain relief.< / div >
== Links ==< / div >
== Links ==< / div >
You can download the tool [https://www.iasp-pain.org/resources/faces-pain-scale-revised/ here] for free.< / div >
You can download the tool [https://www.iasp-pain.org/resources/faces-pain-scale-revised/ here] for free.< / div >

Revision as of 19:36, 23 April 2022

Original Editor-Blessed Denzel Vudzijena

Top Contributors-Blessed Denzel Vudzijena,Lucinda hampton,Chelsea McleneandMelissa Coetsee

Objective[edit|edit source]

Pain examinationin pediatric clients is not easy to analyze or understand just like in adults, due to varying pain experiences and limits, and also due to diverse social and cognitive developmental milestones[1]. The Faces Pain Scale-Revised (FPS-R) is a measure of pain intensity. It was modified from the Faces Pain Scale[2]to facilitate a more acceptable 0 to 10 criterion in scoring pain sensation. The scale shares an intimate straightforward relationship with thevisual analog pain scale (VAS)throughout the 4 to 16 years age group[3]. It is relatively simple to administer.

Intended Population[edit|edit source]

Children older than 4 years old

使用方法[edit|edit source]

According to theInternational Association For The Study Of Pain(IASP), it is a self-reported measure of pain intensity, that requires very few instruments like the photocopied faces to administer. The lack of smiles and tears on the scale is advantageous. It is particularly recommended for use with children older than 4. The clinician scores the chosen face 0, 2, 4, 6, 8, or 10, counting left to right, so "0" equals "No pain" and "10" equals "Very much pain." Make sure you do not use words like "happy" and '"sad." This scale is intended to measure how children feel inside, not how their face looks.

Evidence[edit|edit source]

Reliability[edit|edit source]

In a study that assessed pre and post analgesia administration pain scores the indices of relative reliability showed a good agreement between the test and retest for the scale, 0.76 (95% CI 0.72-0.80).[4]

Validity[edit|edit source]

In the same study that assessed pre and post analgesia administration pain scores, FPS-R was compared against theVASand Pearson correlations between the two were found to be r = 0.78 at 60 minutes after medication administration, showing positive and strong correlations[4].

Responsiveness[edit|edit source]

The scale demonstrated good responsiveness to change in the study[4]that assessed pre and post analgesia administration pain scores. The mean pain scores pre-analgesia were SD = 1.82; median: 6.0; IQR: 4.0-6.0 and after analgesic administration the mean pain scores were SD = 2.31; median: 4.0; IQR: 2.0-6.0. The mean differences in pain scores were significantly lower 60 minutes after the administration of the medication (mean = −1.61, SD = 2.00,P< 0.0001) which suggests high responsiveness of the scale to pain relief.

Links[edit|edit source]

You can download the toolherefor free.

References[edit|edit source]

  1. ↑Emmott AS, West N, Zhou G, Dunsmuir D, Montgomery CJ, Lauder GR, von Baeyer CL.Validity of Simplified Versus Standard Self-Report Measures of Pain Intensity in Preschool-Aged Children Undergoing Venipuncture. J Pain. May 2017;18(5):564-573.
  2. ↑Garra G, Singer A, Taira B, Chohan J.Validation of the Wong-Baker FACES Pain Rating Scale in Pediatric Emergency Department Patients.Academic Emergency Medicine. 2010 Jan; 17 (1): 50-54
  3. ↑Tsze DS, Hirschfeld G, Dayan PS, Bulloch B, von Baeyer CL.Defining No Pain, Mild, Moderate, and Severe Pain Based on the Faces Pain Scale-Revised and Color Analog Scale in Children With Acute Pain. Pediatric Emergency Care. Aug 2018;34(8):537-544.
  4. ↑4.04.14.2Le May S, Ballard A, Khadra C, Gouin S; Plint, A; Villeneuve, E.Comparison of the psychometric properties of 3 pain scales used in the pediatric emergency department: Visual Analogue Scale, Faces Pain Scale-Revised, and Colour Analogue Scale. PAIN. 2018 Aug; 159(8): 1508-1517
Retrieved from "http:///index.php?title=Faces_Pain_Scale_-_Revised&oldid=302587"< / div >

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