section name header
Notes
Face
No particular expression or smile.
0
Occasional grimace or frown; withdrawn; uninterested.
1
Frequent to constant quivering chin, clenched jaw.
2
Legs
Normal position or relaxed.
0
Uneasy, restless, tense.
1
Kicking, or legs drawn up.
2
Activity
Lying quietly, normal position, moves easily.
0
Squirming, shifting back and forth, tense.
1
Arched, rigid or jerking.
2
Cry
No cry (awake or asleep).
0
Moans with whimpers; occasional complaint.
1
Crying steadily, screams or sobs, frequent complaints.
2
Consolable
Content, relaxed.
0
Reassured by occasional touching, hugging, or being talked to; distractible.
1
Difficult to console or comfort.
2
Subtopic(s)
Referred Pain