| COMMENTS |
1. Relaxed is characterized by a calm, restful, mellow appearance. The person se
tight and inflexible. The trunk may appear straight and unyielding. (Exclude an
y contractures.) 6. Fists clenched is characterized by tightly closed hands. Th
ey may be opened and closed repeatedly or held tightly shut. 7. Knees pulled up
is characterized by flexing the legs and drawing the knees up toward the chest.
An overall troubled appearance. (Exclude any contractures.) 8. Pulling or push
ing away is characterized by resistiveness upon approach or to care. The person
is trying to escape by yanking or wrenching him- or herself free or shoving you
away. 9. Striking out is characterized by hitting, kicking, grabbing, punching,
biting, or other form of personal assault.
ems to be taking it easy. 2. Tense is characterized by a strained, apprehensive
, or worried appearance. The jaw may be clenched. (Exclude any contractures.) 3
. Distressed pacing is characterized by activity that seems unsettled. There may
be a fearful, worried, or disturbed element present. The rate may be faster or
slower. 4. Fidgeting is characterized by restless movement. Squirming about or
wiggling in the chair may occur. The person might be hitching a chair across the
room. Repetitive touching, tugging, or rubbing body parts can also be observed.
5. Rigid is characterized by stiffening of the body. The arms and/or legs are
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