Face | No particular expression or smile Occasional grimace or frown, withdrawn, uninterested Frequent to constant frown, clenched jaw, quivering chin |
Legs | Normal position or relaxed Uneasy, restless, tense Kicking, or legs drawn up |
Activity | Lying quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, rigid, or jerking |
Cry | No cry (awake or asleep) Moans or whimpers, occasional complaint Crying steadily, screams or sobs, frequent complaints |
Consolabilty | Content, relaxed Reassured by occasional touching, hugging, or being talked to, distractable Difficult to console or comfort |
Assessment of Behavioral Scale
0 = Relaxed and comfortable
1-3 = Mild discomfort
4-6 = Moderate pain
7-10 = Severe discomfort/pain