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OBSERVATIONAL ASSESSMENT TOOL

INSTRUCTIONS: While observing the subject, score the following


questions base on their categories.
DAY 1
(FINGER)
A. Vocalization
Absent 0
3

Mild 1
Whimpering

Moderate 2

Severe

Groaning

Crying

B. Facial Expression
Absent 0 Mild 1
Moderate 2
3
Looking tense
Frowning
grimacing
C. Change in body language
Absent 0 Mild 1
Moderate 2
3
withdrawing to stimuli
rocking
body part

Total Pain Score:

SCORE EVALUATION:
0-1: NO PAIN
2-3: MILD
4-6: MODERATE
7-9: SEVERE

Severe

Severe
guarding

OBSERVATIONAL ASSESSMENT TOOL


INSTRUCTIONS: While observing the subject, score the following
questions base on their categories.
DAY 2
(FINGER)
A. Vocalization
Absent 0
3

Mild 1
Whimpering

Moderate 2

Severe

Groaning

Crying

B. Facial Expression
Absent 0 Mild 1
Moderate 2
3
Looking tense
Frowning
grimacing
C. Change in body language
Absent 0 Mild 1
Moderate 2
3
withdrawing to stimuli
rocking
body part

Total Pain Score:

SCORE EVALUATION:
0-1: NO PAIN
2-3: MILD
4-6: MODERATE
7-9: SEVERE

Severe

Severe
guarding

OBSERVATIONAL ASSESSMENT TOOL


INSTRUCTIONS: While observing the subject, score the following
questions base on their categories.
DAY 3
(FINGER)
A. Vocalization
Absent 0
3

Mild 1
Whimpering

Moderate 2

Severe

Groaning

Crying

B. Facial Expression
Absent 0 Mild 1
Moderate 2
3
Looking tense
Frowning
grimacing
C. Change in body language
Absent 0 Mild 1
Moderate 2
3
withdrawing to stimuli
rocking
body part

Total Pain Score:

SCORE EVALUATION:
0-1: NO PAIN
2-3: MILD

Severe

Severe
guarding

4-6: MODERATE
7-9: SEVERE