Paediatric Pain Profile (PPP)

The Paediatric Pain Profile (PPP) is a behavior-based pain assessment tool for non-verbal children with severe neurological impairments. Caregivers record changes in body movements, facial expressions, sleep patterns, and vocalizations over time to assess chronic pain.


Key Measures

  • Pain frequency & duration
  • Behavioral indicators (e.g., body movements, vocalizations, sleep changes)
  • Best for: Non-verbal children with chronic pain

Access the PPP

Paediatric Pain Profile


Pros of using the PPP

Designed for children with complex disabilities – Unlike other tools, PPP is specialized for non-verbal children with severe impairments.

Assesses chronic pain – Unlike FLACC or FPS-R, PPP is better for long-term pain evaluation.

Involves caregivers in pain assessment – Parents and caregivers track pain behaviors over time, making it more personalized.

Useful for medication/treatment effectiveness – Helps determine if pain management strategies are working.

Cons of using the PPP

Time-consuming – Requires detailed observation and tracking over time, which can be challenging for caregivers.

Less useful for acute pain – More effective for chronic pain monitoring rather than immediate pain episodes.

May require training – Caregivers may need guidance on how to accurately complete the assessment.