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Behavioral Pain Scale
Facial Expression
Relaxed
Partially tense (e.g., brow lowering)
Fully tense (e.g., eyelids tightly closed)
Rigid
Upper Limb Movement
No movement
Mild flexion
Full flexion with finger flexion
Permanent retraction
Tolerance to Mechanical Ventilation
Tolerates
Coughs but tolerates most of the time
Fights the ventilator
Unable to control ventilation
Score:
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