| Facial Expression |
frown, fright, grimace, forehead wrinkle, rapid blinking |
| Vocalizations |
sigh, moan, groan, grunt, chant, call out, noisy breathing, ask for help, verbally abusive |
| Body Movements |
rigid, tense, guarded, fidget, pace, rock, restricted movement; altered gait, mobility |
| Change in Interpersonal Interaction |
aggressive, combative, decreased interaction, inappropriate, disruptive, withdrawn |
| Change in Activity Pattern or Routines |
refuse food, appetite change, increased resting, change in sleep pattern, stop routines, wandering |
| Mental Status Changes |
crying/tears, confusion, irritable, distressed |
