Children, who come for repeated NRMP, develop their own ways of dealing with the action. The way the children express themselves thus helps the nurses to differ between perceived pain and fear. Pain manifests itself in the way children jerk and scream at the moment of the needle prick. Fear is similarly often manifested through screaming: She screamed more before the stick. Nurses state that if they can distinguish between children's pain and fear, it will help them to choose the appropriate action to support the children during the NRMP.sensitivity on behalf of the nurses to make the right judgment.