The scale is composed of five criteria, each scored from 0 to 2, with a total possible score of 10. Higher scores indicate increased levels of pain. Here are the components:
Crying: Score based on the frequency and intensity of crying. Requires Oxygen: If the infant needs oxygen to maintain saturations above 95%, they score higher. Increased Vital Signs: Elevations in heart rate and blood pressure are considered. Expression: Facial expressions (e.g., grimacing) are evaluated. Sleeplessness: Difficulty in sleeping or frequent awakenings are noted.
