Table 7.
Indicators | Descriptions | Scores |
---|---|---|
FACIAL EXPRESSION | RELAXED, NUETRAL | 0 |
TENSE | 1 | |
GRIMACING | 2 | |
BODY MOVEMENT | ABSENCE OF MOVEMENTs | 0 |
PROTECTION | 1 | |
RESTLESSNESS | 2 | |
MUSCLE TENSION | RELAEDX | 0 |
TENSE OR RIGID | 1 | |
VERY TENSE/RIGID | 2 | |
COMLIANS WITH VENITLATOR (INTUBAED PTs) | TOLARATING VENTILATOR | 0 |
COUGHING, BUT TOLERATEs | 1 | |
FIGHTING VENTILATOR | 2 | |
VOCALIZATION (EXTUBATED PTs) | TALKING IN NORMAL TONE | 0 |
SIGHING, MAONING | 1 | |
CRYING OUT,SOBBING | 2 |