Item	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 respiration
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; frowned	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:*_____________