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Comfort Behavior Scale

COMFORT behavior (c) scale Date Time Observer Please place a mark Deeply asleep (eyes closed, no response to changes in the environment) Lightly asleep ( eyes mostly closed, occasional responses) Drowsy ( child closes his / her eyes frequently, less responsive to the environment) Awake and hyper-alert (exaggerated responses to environmental stimuli) Calm ( child appears serene and tranquil) anxious ( child appears agitated but remains in control) very anxious

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Deh Meh
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160 views

Comfort Behavior Scale

COMFORT behavior (c) scale Date Time Observer Please place a mark Deeply asleep (eyes closed, no response to changes in the environment) Lightly asleep ( eyes mostly closed, occasional responses) Drowsy ( child closes his / her eyes frequently, less responsive to the environment) Awake and hyper-alert (exaggerated responses to environmental stimuli) Calm ( child appears serene and tranquil) anxious ( child appears agitated but remains in control) very anxious

Uploaded by

Deh Meh
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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COMFORT behavior scale

Date Time Observer Please place a mark Deeply asleep (eyes closed, no response to changes in the environment) Lightly asleep (eyes mostly closed, occasional responses) Drowsy (child closes his/her eyes frequently, less responsive to the environment) Awake and alert (child responsive to the environment) Awake and hyper-alert (exaggerated responses to environmental stimuli ) Calm (child appears serene and tranquil) Slightly anxious (child shows slight anxiety) Anxious (child appears agitated but remains in control) Very anxious (child appears very agitated, just able to control) Panicky (severe distress with loss of control) No spontaneous respiration Spontaneous and ventilator respiration Restlessness or resistance to ventilator Actively breathes against ventilator or coughs regularly Fights ventilator Quiet breathing, no crying sounds Occasional sobbing or moaning Whining (monotonous sound) Crying Screaming or shrieking No movement Occasional, (three or fewer) slight movements Frequent, (more than three) slight movements Vigorous movements limited to extremities Vigorous movements including torso and head Muscles totally relaxed; no muscle tone Reduced muscle tone; less resistance than normal Normal muscle tone Increased muscle tone and flexion of fingers and toes Extreme muscle rigidity and flexion of fingers and toes Facial muscles totally relaxed Normal facial tone Tension evident in some facial muscles (not sustained) Tension evident throughout facial muscles (sustained) Facial muscles contorted and grimacing Total score 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 Patient sticker

Alertness

Calmness/Agitation

Respiratory response
(score only in mechanically ventilated children)

Crying

(score only in spontaneously breathing children)

Physical movement

Muscle tone

Facial tension Gelaatsspanning

VAS (Visual Analogue Scale)


no pain Details medication Details child's condition Type of assessment

Put a mark on the line below to indicate how much pain you think the child has at this very moment. worst pain VAS score

(before or after medication or standard assessment) Mean arterial blood pressure and heart rate are not included in this version of the COMFORT Scale.
Copyright English version: B.Ambuel, K.Hamlett en C.Marx - Copyright Dutch version: H.M.Koot, J.B.de Boer en M.van Dijk, version 4, November 2003. Do not reproduce without permission.

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