ChecklistPainBehaviour-v1.2(2023EN)

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General information

Name: nl.zorg.ChecklistPainBehaviour
Version: 1.2
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

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Metadata

DCM::CoderList	Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate	1-12-2016
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	zorg
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.12.17
DCM::KeywordList	Pijnscore, assessment, CPG
DCM::LifecycleStatus	Final
DCM::ModelerList	Werkgroep RadB Verpleegkundige Gegevens
DCM::Name	nl.zorg.ChecklistPijngedrag
DCM::PublicationDate	15-10-2023
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	07-09-2023
DCM::Supersedes	nl.zorg.ChecklistPijngedrag-v1.1.1
DCM::Version	1.2
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.1 (31-01-2020)

ZIB-923

DefintionCodes zib nl.ChecklistPijngedrag

Publicatieversie 1.1.1 (10-06-2022)

ZIB-1638

Titel van de zib bevat een spelfout

Publicatieversie 1.2 (15-10-2023)

ZIB-1946

Tekstuele wijzigingen zib ChecklistPijnGedrag

Concept

The CPB (Checklist Pain Behaviour) is a pain assessment tool, that is used to assess pain in children with a limited expressive repertoire or with a profound cognitive impairment, by observing their behaviour.
The CPB has ten observations that need to be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with a VAS score that is completed by the nurses on basis of clinical experience.

Purpose

A pain assessment tool is an instrument for determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For children with a limited expressive repertoire it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain observation instrument remains a snapshot in time.

Evidence Base

For determining the degree of pain in children with difficulty expressing themselves there are diverse pain observation instruments available:

• CPB
• Comfort Behaviour scale/ ComfortNeo scale
• FLACC

Patient Population

The pain assessment tool CPB is developed for children with limited expressive repertoire or a profound cognitive impairment.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:12.17.1	ChecklistPainBehaviour							Root concept of the ChecklistPainBehaviour information model. This root concept contains all data elements of the ChecklistPainBehaviour information model.	108331000146104 Pain Behaviour Checklist
	NL-CM:12.17.2		TotalScore					0..1	The total score is the sum of all the individual scores. The total score has a range from 0 - 10.	48981000146100 Pain Behaviour Checklist total score
	NL-CM:12.17.3		Face					0..1	Tense face; one or more muscles in the face are tensed.	12017003 ChecklistPainBehaviour Face
	NL-CM:12.17.4		Mouth					0..1	Deeper naso-labial furrow; the line between the nose and mouth (naso-labial furrow) is deeper and aside.	12017004 ChecklistPainBehaviour Mouth
	NL-CM:12.17.5		Grimace					0..1	Grimace; the co-occurrence of: furrowed eyebrows; eyes that are composed or pinched; a deeper line between the nose and mouth; opened mouth.	12017005 ChecklistPainBehaviour Grimace
	NL-CM:12.17.6		LookingSad					0..1	Looking sad, almost in tears: eyebrows which have been pulled up laterally on the inner sides; wrinkles in the forehead, especially over the nose; eyes are squeezed; mouth drawn down possibly combined with a pout.	12017006 ChecklistPainBehaviour LookingSad
	NL-CM:12.17.7		Eyes					0..1	Eyes squeezed. Note: Do NOT score as present when the child is blinking or when the eyes are still closed without blinking.	12017007 ChecklistPainBehaviour Eyes
	NL-CM:12.17.8		Panic					0..1	Panics, panic attack: an extreme form of anxiety which manifests itself in random restless body movements or violent resistance. This may be associated with an anxious look characterized by large widely opened eyes and eyebrows which are on the inner side raised up.	12017008 ChecklistPainBehaviour Panic
	NL-CM:12.17.9		Moaning					0..1	Moaning, groaning; monotonous sound on plaintive tone.	12017009 ChecklistPainBehaviour Moaning
	NL-CM:12.17.10		Cry					0..1	Cries softly; crying is accompanied by a shocking breath.	12017010 ChecklistPainBehaviour Cry
	NL-CM:12.17.11		SoundsOfRestlessness					0..1	Penetrating sounds of restlessness: sudden or longer lasting intense cries or verbal expressions of pain, such as 'ow' or 'you hurt me'.	12017011 ChecklistPainBehaviour SoundsOfRestlessness
	NL-CM:12.17.12		Tears					0..1	Tears: child produces tears in at least one eye, so more than just watery eyes.	12017012 ChecklistPainBehaviour Tears
	NL-CM:12.17.13		ScoreDateTime					1	The date and time at which the CPB score was determined.
	NL-CM:12.17.14		Comment					0..1	A comment on the circumstances during the measurement.	48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

ChecklijstPijnGedrag
ScoreDatumTijd	19-12-2016, 10.45 uur
Gespannen gezicht	1
Lijn tussen neus en mondhoek dieper	0
Grimas	1
Verdrietige blik, bijna in tranen	0
Ogen dicht knijpen	1
Paniekerig, paniek reactie	1
Kreunen, jammeren	1
Huilen, snikken	0
Indringende onruistgeluiden	1
Tranen	0
Totaalscore	6
Toelichting	pijn gemeten i.v.m. toegenomen onrust

References

1. Pijnobservatielijst CPG – Checklist pijngedrag [Online] Beschikbaar op:http://www.kennispleingehandicaptensector.nl/gehandicaptenzorg/Pijnobservatielijst_CPG_Checklist_pijngedrag [Geraadpleegd: 1 december 2016] 2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx [Geraadpleegd: 21 december 2016] 3. Onderbouwing richtlijn Signaleren van Pijn bij mensen met een verstandelijke beperking” V&VN, februari 2015 [Online] Beschikbaar ophttps://www.venvn.nl/Portals/1/Nieuws/2015%20documenten/Multidisciplinaire%20richtlijn%20Signaleren%20van%20pijn%20bij%20mensen%20met%20een%20verstandelijke%20beperking.pdf [Geraadpleegd: 21 december 2016]

This information model in other releases

• Release 2017, (Version 1.0)
• Prerelease 2018-2, (Version 1.0)
• Prerelease 2019-2, (Version 1.1)
• Release 2020, (Version 1.1)
• Prerelease 2021-2, (Version 1.1)
• Prerelease 2022-1, (Version 1.1.1)
• Prerelease 2024-1, (Version 1.2)

Information model references

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Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
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• HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
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Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2023-1
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
• LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 31/10/2023 19:29:56 with ZibExtraction v. 9.3.8704.31782

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