PAIN ASSESSMENT IN CRITIALLY NON-COMMUNICATIVE PATIENTS IN THE ICU.IntroductionPain is a common and distressing indication in critically ill patients (Mindy Stites, 2013).It is a significant challenge in seriously ill adults, especially those who are unable to communicate their pain level. During critical illness, there are many aspects that alter verbal communication with patients, including tracheal intubations, reduced level of consciousness, and administration of sedation and analgesia. The first step in providing satisfactory pain relief is to use systematic and consistent pain assessment and documentation. However, no particular tool is universally accepted for use in these patients. A common element of behavioral pain tools is the assessment of facial behaviors. Although the use of facial expressions is a vital behavioral measure of pain intensity, there are discrepancies in defining facial behavior descriptors. Therefore, understanding facial expressions in critically ill, noncommunicative patients with pain is essential to aid in the improvement of concise indicators to improve pain assessment and supervision. (Arif-Rahu & Grap). The rate of uncontrolled pain in critically ill patients remains far too high. Methodical pain assessment should be performed consistently, and patient self-report should be the primary source of pain assessment whenever likely. Repetitive pain assessment with an observational pain assessment tool can minimize admission to intensive care units; the duration of mechanical ventilation; and increase patient family and health worker contentment (Mindy Stites, 2013). Literature review: Pain is an important phenomenon in the middle of the document......c diet, prolonged hospitalization, cost, workload of the medical team, mortality rate. Furthermore, the existence of poorly productive assessment tools leads us to look for other pain assessment criteria. This study will help add original information to the presented pain assessment tools and demonstrate their effectiveness and ability to assess pain level in non-communicative patients compared to the Pain Observation Tool in Care intensive (CPOT). Objectives: This study will be conducted to compare available pain assessment tools and the Critical Care Pain Observation Tool (CPOT) to achieve the following: • Explore the accuracy of pain assessment pain using the tools available in the hospitals chosen for the study by comparing them with the (COPT). • To assess the skill in pain assessment among non-communicative Jordanian patients.