CPOT : Critical care pain observation tool

Not intubated
Facial expression : 0= relaxed, 1= tense 2= grimacing
Body movement : 0 = no movement, 1= protection 2 = restless
Muscle Tension: 0= relax 1= tense 2 = Stiff / very tense

< 2 : not in pain > 2 : unacceptable pain