... parent support, other PRNSickle Cell DiseaseCRITICAL ELEMENTS OF CARE Produced by e Center for Children with Special Needs Seattle Children s Hospital, Seattle, WA Fih Edition, Revised ... MN, MPH, ARNPis document is also available on the Center for Children with Special Needs website at www.cshcn.org. DISCLAIMER: Individual variations in the condition of the patient, status ... numerical scale, the number they give is the Oucher score; if the child uses the photographic scale, the picture they select is converted to the appropriate predetermined score shown on the oucher...