Non-Communicating Children’s Pain Checklist (NCCPC-R)

Form Template

The Non-Communicating Children’s Pain Checklist (NCCPC-R) mobile app offers an assessment of pain in children who are unable to speak due to a physical disability or cognitive impairment.

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The electronic pain scale management app is easily accessible using a smartphone or tablet and can be customized for a children's hospital or chronic pain management clinic. Once the child pain intensity form has been completed, save it as a Non-Communicating Children’s Pain PDF that can be shared with other health providers.

This chronic pain assessment tool for pain in children helps detail children's social, vocal, and facial expressions in relation to pain behaviors. It can be used for post-operative pain or to determine when the patient is experiencing pain. Tracking these details can help determine pain intensity, track pain behaviors and evaluate the cause of pediatric pain. Once the assessment of pain form has been completed, the pain management app saves the results electronically for your records. The Non-Communicating Children’s Pain report can be customized for use with any child.

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  • iPhone
  • iPad
  • Android
  • Windows
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