PPP - for use by family carers

The Paediatric Pain Profile is a pain assessment tool for non-verbal children with severe and complex disability. The tool incorporates a validated 20-item behaviour rating scale with scores ranging from 0 to 60. In early studies, scores of 14 and over have been associated with moderate or worse pain. The tool emphasises the need for partnership between parent and professional in assessing and managing children’s pain. This licence covers use of PPP by family carers.
Technology No. 89-059
Paediatric Pain Profile personal use

PPP - for use by family carers

The licence offered on this page allows for personal use of PPP by family and friends but excludes use by professional carers. To use the PPP tool in a professional caring capacity, please access from the following page:



The PPP tool is available for download as a PDF document. If you wish to download the tool, please read our Terms & Conditions by selecting 'View Terms' on the left-hand side of this screen before proceeding. 

To proceed with your order, click the checkbox below the Terms and then 'Add to Basket'.
You may then proceed to checkout by clicking on My Basket at the top of this page and progressing as instructed.
Product Description
Severe physical and learning impairment is a feature of many chronic and disabling conditions in children. These children have many potential sources of pain. Pains may arise from the disease process itself (e.g. neuropathic pain or muscle spasm), be secondary to the disease (e.g. musculoskeletal pain or pain from reflux oesophagitis) or incidental (e.g. a toothache or otitis media). However, because the children have difficulty in communicating their pain it can go unrecognised and untreated. It is the child's behaviour often, rather than their verbal report, which has to be interpreted to determine if they have pain. Because it can be difficult sometimes for parents and for health care professionals to distinguish which behaviours do indicate pain and to follow the progress of pain relieving treatments, we have developed a pain assessment scale specifically for this population of children.  
The scale consists of 20 types of behaviour each rated on a 4 point scale (0-3) according to the extent to which a behaviour occurs within a given time frame (from “not at all” to “a great deal”. The total score will range from 0 to 60.  
We have ‘packaged’ the scale along with other forms which may be used in documenting the context of the behaviours and actions taken, for instance, it is helpful to record on the “baseline” how the child behaves “at their best” or “on a good day”.

Translations into Urdu, Punjabi, Norwegian, Danish, Italian and German are also made available for download by licensed users. Some other language translations might be available from the authors. Please contact us using the button in the sidebar to enquire about other translations.

For further information about the PPP tool, please visit the PPP website

  • swap_vertical_circlelibrary_booksReferences (4)
    1. Perry, Crichton, Goldman, Seers, Wisbeach, Hunt (2007), Development of the paediatric pain profile: role of video analysis and saliva cortisol in validating a tool to assess pain in children with severe neurological disability, J Pain Symptom Manage, 33(3), 276-289
    2. Moffat, Mastroyannopoulou, Crichton, Seers, Goldman, Hunt (2004), Clinical validation of the paediatric pain profile, Dev Med Child Neurol,, 46(1), 9-18
    3. Seers, Goldman, Mastroyannopoulou, Hunt (2003), Not knowing-the problem of pain in children with severe neurological impairment, Int J Nurs Stud, 40(2), 171-183
    4. Hunt (2001), Towards an understanding of pain in the child with severe neurological impairment. Development of a behaviour rating scale for assessing pain, University of Manchester, , Manchester
  • swap_vertical_circlecloud_downloadDownloads (9)
    size: 231 KB, type: application/pdf
    PPP Deutsch.pdf*
    size: 95 KB, type: application/pdf
    ppp preview.jpg*
    size: 248 KB, type: image/jpeg
    ppp in French.pdf*
    size: 2 MB, type: application/pdf
    PPP tool_PUNJABI.pdf*
    size: 103 KB, type: application/pdf
    PPP traduz. italiano.pdf*
    size: 339 KB, type: application/pdf
    PPP tool_URDU.pdf*
    size: 2 MB, type: application/pdf
    size: 170 KB, type: application/pdf
    size: 545 KB, type: application/pdf
    Files marked with an asterix (*) can only be downloaded by users that have the appropriate product licence. The licence must be active and you must be logged into your account.
PPP Non-Exclusive Licence (Personal Use)
>For personal use only.

Term: perpetual

Price per unit:
£0.00 excl. VAT

Get in touch to discuss alternative licensing options