DAY

HOURS

CRIES

1: no crying

2: moaning or crying

3: shrill or screaming

FACE

0: smiling

1: calm, neutral face

2: grimace

VERBAL COMPLAINTS

0 : talks about things without complaining

1: does not talk, or complains, but not of pain

2: complains of pain

BODY (torso)

1: body (torso) calm, at rest

2: changes position or becomes agitated, or body arched or rigid or shaking, or body upright

HANDS: touching the wound?

1: does not move hand towards the wound

2: moves hand forward or touches or grabs wound

LEGS

1: relaxed or gentle movements

2: twisting, writhing or kicking, legs straightened or raised over body or crouching.

Total