cliot (version 1.0.0)

bps_intubated_pain: Behavioral Pain Scale (BPS) for Intubated Patients

Description

Calculates the Behavioral Pain Scale (BPS) score to assess pain in unconscious, sedated, and intubated patients. The scale evaluates three behavioral domains: Facial Expression, Upper Limb Movements, and Compliance with Mechanical Ventilation.

Usage

bps_intubated_pain(facial_expression, upper_limb_movements, compliance_ventilation)

Value

A list containing:

BPS_Score

The sum of the three domain scores (Range 3-12).

Interpretation

Clinical guidance. A score > 5 generally indicates significant pain requiring intervention.

Arguments

facial_expression

Numeric (1-4). 1: Relaxed. 2: Partially tightened (e.g., brow lowering). 3: Fully tightened (e.g., eyelid closing). 4: Grimacing.

upper_limb_movements

Numeric (1-4). 1: No movement. 2: Partially bent. 3: Fully bent with finger flexion. 4: Permanently retracted.

compliance_ventilation

Numeric (1-4). 1: Tolerating movement. 2: Coughing but tolerating ventilation most of the time. 3: Fighting ventilator. 4: Unable to control ventilation.

References

Payen JF, Bru O, Bosson JL, et al. Assessing pain in critically ill sedated patients by using a behavioral pain scale. Crit Care Med. 2001;29(12):2258-2263. doi:10.1097/00003246-200112000-00004

Examples

# Example 1: Significant Pain
# Grimacing (4), Fully bent arms (3), Fighting vent (3)
# Score = 10
bps_intubated_pain(4, 3, 3)

# Example 2: No Pain
# Relaxed (1), No movement (1), Tolerating vent (1)
# Score = 3
bps_intubated_pain(1, 1, 1)