“…There is conclusive evidence that the expression of facial pain is specialized pain that is not only responsive but also distinguishable from other emotional expressions. [25,27,30] Body Movement Assessed as a reaction of any action that affects the body, especially pain like rigid, guarding, and tense, physical aggression, fidgeting, increased pacing/rocking, and mobility changes such as inactivity or motor restlessness. [24,31,40] Vocalization When we are in a bad situation, we shout for help as the same when babies feel in distress or pain, they would cry, so our voices in a different pattern (Moaning, crying, groaning, sighing, and gasping).…”