We suggest that you produce multiple photocopies so that you may obtain written feedback to place in the patients history file. A faces pain scale visual analog scale vas 0 2 4 6 8 10 very happy, no hurt hurts just a little bit hurts a little more hurts even more hurts a whole lot hurts as much as you can imagine dont have to be crying to feel this much pain revised 1201 3. For children ages 6 to adult, a scale of 0 to 10, the nrs the numeric rating scale, is used. Click on the language below to download the fpsr instructions as a pdf in that.
Our foundation offers licensing agreements to organizations using the wongbaker faces pain rating scale, although licensing is not required for all situations. The child points to the picture of the face he she feels most like. Based on the explanations below, please choose the category that best describes your role, your organization, and your use of the scale. The catalan version of the faces pain scale revised. Three studies were carried out to revise the original scale and validate the adapted version. The faces pain scalerevised fpsr is a validated scale showing reliability in children, but it has not been validated in children with sickle cell disease scd. Validity and reliability assessment of the brazilian version. Point to the face that shows how bad your pain is now. Faces pain scale revised fps r pain intensity rating scale useful for all older adults, including those with mild to moderate cognitive impairment. The faces pain scalerevised fpsr figure 2 can be scored along the same 0 to 10 metric as the nrs, and has been shown to have the best psychometric properties in schoolaged children 4 to 12 years compared to several other faces scales, including the oucher photographic scale and the wongbaker faces pain scale, as well as the pieces of. Point to the face that shows how bad your pain is right now. The faces pain scale revised fpsr was adapted from the faces pain scale bieri et al, 1990 in order to make it possible to score on the widely accepted 0to10 metric. Cognitive testing of an electronic version of the faces. The wongbaker face pain rating scale is the pain scale most preferred by physicians, parents and children.
Selfreport of pain is defined as the ability to indicate presence andor severity of pain verbally, in writing, or by other means such as finger span, pointing, head movement, or blinking eyes to answer yes or no. Gesichterskala zur schmerzerfassung uberarbeitete version. It shows a close linear relationship with visual analog pain scales across the age range 4 through 16 years. Pain rating scales instructions subjective pain score all patients are to have a functional activity score recorded in addition to the chosen subjective score. Toward a common metric in pediatric pain measurement article pdf available in pain 932. Some older adults will find this tool easy to use, and may prefer it over the numerical rating scale. Pain assessment scales maine developmental disabilities. Faces pain scale how is faces pain scale abbreviated. We postulated that while cultural factors influence pain perception and. Each face shows more and more pain and the last face shows the worst pain possible. The faces pain scalerevised has no smiling face and no tears, which may be advantageous in avoiding the confounding effect of affect and pain intensity. Reliability and validity of the faces pain scale with. The most common pain scale for quantification of endometriosisrelated pain is the visual analogue scale vas.
Qualitative assessment of face validity and crosscultural. The faces show more and more pain point to each from left to right up to this one point to. The commonly used versions of the fps have six, seven or nine faces. The purpose of this study was to evaluate comprehension and usability of an electronic modified version of the fpsr among pediatric patients with scd. Its validity is supported by a strong positive correlation r 0. Pain intensity was measured with the 11point numerical rating scale, the faces pain scalerevised, the visual analogue scale and the colored analogue scale. A pain scale measures a patients pain intensity or other features. The faces pain scale for the selfassessment of the severity of pain experienced by children. Welcome to the wongbaker faces foundation the official home of the this tool was originally created with children for children to help them communicate about their pain. Now the scale is used around the world with people ages 3 and older, facilitating communication and improving assessment so pain management can be addressed. In addition to assessing pain by physiologic parameters in the neonatal population, there are multiple validated pain scales utilized by nicus to assess pain. Bieri d, reeve r, champion gd, addicoat l, ziegler j. Guidelines for captioning and reproduction of the scale will be provided with.
Development, initial validation and preliminary investigation for ratio scale properties. In all cases, participants had to report the maximum intensity of their most frequent pain in the last 3 months. Convergent validity was assessed by determining the spearmans correlations and the agreement using the blandaltman method between the visual analogue scale vas, faces pain scalerevised fpsr and color analogue scale cas. The faces pain scale revised fpsr is among the most commonly used measures of pain intensity in clinical and research settings. Using pediatric pain scales faces legs activity cry. Although the fpsr has six faces, its numbered 0, 2, 4, 6, 8, 10.
Three studies were carried out to revise the original scale. It proves to be an inexpensive, yet easy to use, pain scale, these factors are important, as measuring pain in children can be extremely difficult. Faces pain scale revised gesichterskala zur schmerz. The fpsr is designed for use by children and asks the child to choose a face that shows how much hurt or pain you have now. A limitation of the faces pain scalerevised is that it has shown low preference when kids and adults are. Download the faces pain scalerevised pdf or scroll to the bottom of your screen to see an example. The 010 numerical scale, simple descriptive scale and faces pain scale revised are intended to help patients quantify their pain.
Faces pain scale revised vector images printerfriendly version author. Responsiveness to change was determined by performing the wilcoxon signedrank test between the prepost. The faces pain scale revised fpsr is a selfreport measure of pain intensity developed for children. The faces pain scalerevised toward a common metric in pediatric pain measurement, pain. Jul 10, 2012 the faces pain scale revised fpsr figure 2 can be scored along the same 0 to 10 metric as the nrs, and has been shown to have the best psychometric properties in schoolaged children 4 to 12 years compared to several other faces scales, including the oucher photographic scale and the wongbaker faces pain scale, as well as the pieces of. It can also be used by other adults who are not familiar with a specific child do not know them well. Psychometric properties of the noncommunicating childrens pain checklistrevised. Noncommunicating childrens pain checklist revised nccpcr. Research suggests to us that the most accurate report of pain is from the person in pain. The faces pain scale revised has no smiling face and no tears, which may be advantageous in avoiding the confounding effect of affect and pain intensity.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. Click on the image or right click to open the source website in a new browser window. Pain intensity was measured with the 11point numerical rating scale, the faces pain scale revised, the visual analogue scale and the colored analogue scale. A guide to pain assessment and management in the neonate. Toward a common metric in pediatric pain measurement. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. It is usually managed with medication and nonpharmacological treatment to provide comfort.
When patients with dementia or delirium are unable to selfreport, use the painad scale. How to use the pain assessment tool patient selfreporting is the most reliable indicator of severity of pain. Mar 12, 2016 the revised faces pain scale, the wongbaker faces scale, and the 10cm visual analog scale are used in many healthcare settings to assess a pediatric patients pain 15, 1722. Pain scales are a common communication tool in medical contexts, and are used in a variety of medical settings. Explain to the person that each face represents a person who has no pain hurt, or some, or a lot of pain.
Pain assessment scales the national initiative on pain control nipc has provided these diagnostic tools to assist you in assessing the severity and quality of pain experienced by your patients. The list of acronyms and abbreviations related to fpsr faces pain scalerevised. Jul 18, 2019 welcome to the wongbaker faces foundation the official home of the this tool was originally created with children for children to help them communicate about their pain. The revised faces pain scale, the wongbaker faces scale, and the 10cm visual analog scale are used in many healthcare settings to assess a pediatric patients pain 15, 1722. Pain scales are a necessity to assist with better assessment of pain and patient screening. Acute pain is an indication for needed assessment, treatment and. Faces legs activity cry consolability revised scale flaccr the flaccr scale is used for children older than one year that cannot report their pain. Visual analogue scale vas instruct the patient to point to the position on the line between the faces to indicate how much pain they are currently feeling. The faces show more and more pain point to each from left to right up to this one point to rightmost face. Faces pain scale revised vector images printerfriendly. The scale consists of six faces that range from no pain at all to the worst pain imaginable. Spafforda, inez van korlaarc, belinda goodenoughc adepartment of psychology, university of saskatchewan, saskatoon, canada bdepartment of pediatrics, university of saskatchewan, saskatoon, canada cschool of psychology, university of new south. A limitation of the faces pain scale revised is that it has shown low preference when kids and adults are given a choice among faces scales.
The 010 numerical rating scale nrs has universally adapted for assessment of pain intensity. D rating scales can be introduced at the age of 4 or 5 years. Evaluation of reliability, validity, and preference for a pediatric pain intensity scale. Assessment of the face validity of two pain scales in. Faces pain scale revised fps r in the following instructions, say hurt or pain, whichever seems right for a particular child.
Assessment of the face validity of two pain scales in kenya. The faces pain scalerevised fpsr is among the most commonly used measures of pain intensity in clinical and research settings. A strong positive correlation was found between the fpsr and the numeric 0to10 scale used with adults. Young children should not be asked to rate pain by using numbers. In a study published last year, carrie hicks and her colleagues introduced a different faces scale called thefaces pain scale revised fpsr. The purpose of the present study was to examine the validity and reliability of the brazilian version of the fpsr.
But children often are not able to report their pain. Spafforda, inez van korlaarc, belinda goodenoughc adepartment of psychology, university of saskatchewan, saskatoon, canada bdepartment of pediatrics, university of saskatchewan, saskatoon, canada cschool of psychology, university of new south wales. It was adapted from the faces pain scale to make it possible to score the sensation of pain on the widely accepted 0to10 metric. Validity and reliability assessment of the brazilian.
The faces show how much pain or discomfort someone is feeling. A faces pain scale visual analog scale vas 0 2 4 6 8 10 very happy, no hurt hurts just a little bit hurts a little more hurts even more hurts a whole lot hurts as much as you can imagine dont have to be crying to feel this much pain revised 920 3. The faces pain scale revised toward a common metric in pediatric pain measurement, pain. The faces pain scale fps is effective with older adults in clinical assessment of pain intensity. In the second phase, children used the new sixface faces pain scale revised fpsr to rate the intensity of pain from ear piercing. The nccpcr was designed to be used without training by parents and caregivers carers. These images are a random sampling from a bing search on the term faces pain rating scale. In a study published last year, carrie hicks and her colleagues introduced a different faces scale called thefaces pain scalerevisedfpsr. Usually, acute pain has an obvious cause and is expected to last for a few days or weeks. The faces pain scalerevised fpsr is a selfreport pain scale validated in numerous countries, but not in cameroon. Psychometric properties of the noncommunicating childrens pain checklist revised.
International association for the study of pain keywords. Using pediatric pain scales faces pain scale uw health. A faces pain scale visual analog scale vas 0 2 4 6 8 10 very happy, no hurt hurts just a little bit hurts a little more hurts even more hurts a whole lot hurts as much as you can imagine dont have to be crying to feel this much pain. A pain assessment of infants pain score degree of pain behavioral. Pain management in children is the assessment and treatment of pain in infants and children.