Items* | 0 | 1 | 2 | Score |
Breathing independent of vocalization | Normal | Occasional labored breathing. Short period of hyperventilation. | Noisy labored breathing. Long period of hyperventilation. Cheyne-Stokes respirations. | |
Negative vocalization | None | Occasional moan or groan. Low-level speech with a negative or disapproving quality. | Repeated troubled calling out. Loud moaning or groaning. Crying. | |
Facial expression | Smiling or inexpressive | Sad. Frightened. Frown. | Facial grimacing. | |
Body language | Relaxed | Tense. Distressed pacing. Fidgeting. | Rigid. Fists clenched. Knees pulled up. Pulling or pushing away. Striking out. | |
Consolability | No need to console | Distracted or reassured by voice or touch. | Unable to console, distract, or reassure. | |
Total¶: |
Do you want to add Medilib to your home screen?