DAY |
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HOURS |
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CRIES |
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1: no crying |
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2: moaning or crying | |||||||||||||||
3: shrill or screaming | |||||||||||||||
FACE |
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0: smiling |
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1: calm, neutral face | |||||||||||||||
2: grimace | |||||||||||||||
VERBAL COMPLAINTS |
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0 : talks about things without complaining |
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1: does not talk, or complains, but not of pain | |||||||||||||||
2: complains of pain | |||||||||||||||
BODY (torso) |
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1: body (torso) calm, at rest |
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2: changes position or becomes agitated, or body arched or rigid or shaking, or body upright | |||||||||||||||
HANDS: touching the wound? |
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1: does not move hand towards the wound |
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2: moves hand forward or touches or grabs wound | |||||||||||||||
LEGS |
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1: relaxed or gentle movements |
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2: twisting, writhing or kicking, legs straightened or raised over body or crouching. | |||||||||||||||
Total |
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