Pain is a subjectively difficult, abstract and comprehensive concept that is at the core of the whole study, emerging in relation to various advancements, and detailed description. For non-controlling, stress-free, stress-or-thickness training for thromboembolic, pulmonary and other organ modalities, re-admission from discharge, thromboembolic, pulmonary and other reasons.

The scales of use in the assessment of pain in the conscious surgical patient who cannot communicate verbally, into the pain, are physically subjective. Ekman and Friesen are planning the movements of their muscles to be performed by an Action Coding process that could be experienced in 1978. system; It has been applied in pain, in the evaluation of pain in the postoperative period and in children, in the new clinical practice, and in the new and clinical practice.

Health professionals may be biased in diagnosing pain, especially in intensive care patients, and may underestimate pain. In the literature, it is seen that the child who is made with pain in his patients in education in the field of medicine is not used in his experiences, similar to the pain that measures the tastes of the faces of the single scales. In this context, standardized, continuous, objective and scalable pain measures indicate the practice environment. The aim of these people is to evaluate the pain in our surgical patients who cannot communicate clearly and clearly with pain diagnosis that measures facial movement.

Inclusion Criteria:

• 18 years and over,
• Those with intubation/tracheostomy,
• Conscious, unable to communicate verbally,
• Glaskow coma score 13-15,
• Patients who agreed to participate in the study

Exclusion Criteria:

• Those with any facial abnormality that may alter facial expression analysis (facial paralysis, Poland-mobius syndrome)
• Those with neurological and mental disorders,
• Having a history of chronic pain,
• Those who have a condition that requires them to be in the prone position all the time (Pilonidal Sinus, ARDS, etc.),
• Patients who cannot speak the same language as the healthcare professional