Education and care-planning support only — does not replace clinical judgment or local protocols.

🩺 CP-PAIN — Pain & Comfort Score

Pain plus how it affects rest and function. · Group C Comfort and rest · Links to: C1–C12, K4

Original tool, not yet validated. Pilot and review with clinicians before clinical decisions. Supports, but does not replace, clinical judgment, validated scales and local policy.

Patient

Date/Time

Nurse

Item	0	1	2
Pain now (patient says 0–10)	0 · 0–3	1 · 4–6	2 · 7–10
Face and body (if cannot speak)	0 · Relaxed	1 · Frowning, guarding	2 · Grimacing, crying, rigid
Effect on sleep	0 · Sleeps well	1 · Wakes sometimes	2 · Cannot sleep
Effect on movement	0 · Moves freely	1 · Moves with care	2 · Will not move
Relief from last dose	0 · Good relief	1 · Partial relief	2 · No relief
Nausea / itch / drowsiness	0 · None	1 · Mild	2 · Severe or hard to wake

⚠ Red flags — escalate at once regardless of score

Hard to wake after opioid breathing <8/min

Total: 0 — select a score for each item

Score	Level	Action
0–2	Comfortable	Reassess every 4 h
3–6	Moderate	Give pain relief as ordered, comfort measures, reassess in 30–60 min
≥7	Severe	Inform doctor, review plan; hard to wake = stop opioid and escalate

Nursing notes / action taken

⬇ Blank form (PDF)