Table 2.
Multidimensional Assessment of Pain Scale (MAPS-revised).
| Categories | 0 | 1 | 2 | Score |
|---|---|---|---|---|
| Vital signs HR and/or BP | Within baseline | More than 10% increase | More than 20% increase | |
| Breathing pattern | No change | Development or increase of respiratory distress | Increased respiratory distress with silent or weak cry | |
| Facial expressions | Relaxed | Grimace | Grimace associated with silent or weak cry | |
| Body movements | No movements or purposeful movements | Restless | Rigid and/or limited body movements | |
| State of arousal | Calm or asleep | Hyperreactive | Shut down | |
| Total score |
HR: heart rate; BP: blood pressure.