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Table 1 Examples of non-verbal cues and relational availability to observe the quality of life

From: How do professionals assess the quality of life of children with advanced cancer receiving palliative care, and what are their recommendations for improvement?

Positive Negative
Smiles
Laughs
Better eye contact
Bright-eyed
Relaxed facial features
Relaxed body and breathing rhythm
Is awake for longer periods of time
Responds more to questions
Accepts and participates more in care
Chats more and shows a desire to interact with the environment
Is more involved in activities
Engages in his/her occupations and plays
Absent gaze
Avoids eye contact
Frowns
Body tension and restless breathing
Has difficulty calming down
Is agitated, screams, cries
Self-mutilation
Is closed off
Is curled up in bed
Appears discouraged
Responds to questions sparingly or not at all
Refuses to see professionals and to receive care
Diminished relational availability
Irritability
Sleeps most of the time