Behaviors:
(1) nonverbal vocal complaints (groans, moans, sighs, etc)
(2) verbal vocal complaints expressing pain or discomfort
(3) facial grimacing or wincing
(4) bracing
(5) restlessness
(6) rubbing or massaging an affected area
Observations:
(1) with movement
(2) while at rest
Each behavior is scored 1 if it occurs at all, even briefly.
subscore for movement =
= SUM(points for behaviors while moving)
subscore for at rest =
= SUM(points for behaviors while at rest)
Interpretation:
• minimum subscore or total score: 0
• maximum subscore: 6
• maximum total score: 12
• Any positive behavior warrants further investigation.
