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Here is some sample content from Behavioral-Physiological Pain Scale for Nonverbal or Preverbal Patients:

	BEHAVIORAL-PHYSIOLOGICAL PAIN SCALE FOR NONVERBAL OR PREVERBAL PATIENTS ScoreAssessment Guideline0No Signs of Irritability or Pain Exhibited+Signs of Irritability Intermittent vocalizations, soft or brief cry but able to suck or feed Increased activity of extremities, restless, purposeless movements but trunk is relaxed Frowning, furrowed brow, eyes open Mildly increased tone of extremities Increased arousability, more awake than usual Unexplained mild changes in respiratory pattern, HR and BP++Signs of Pain Loud cry, sustained attempts to cry Refuses to feed, eat and/or pacifier...
Second excerpt:
	... pain medication may be indicated. References: Broome, M 1990 Differentiating Between Pain and Agitation in Premature Neonates. Journal of Perinatal and Neonatal Nursing pp 53-60. Halsinski, MF 1992 Assessment and Management of Pain in Children. In MF Halsinski Nursing Care of the Critically Ill Child pp 80-83, St. Louis: Mosby. Watson, J et al 1992 Clinical Judgment in Assessing Children's Pain. In J Watson Ed Pain Management: A Nursing Perspective pp 243-246, St. Louis: ...