The D|AX nurse N|I R|S N|ER|SH N|I R|SH must M|O|S|T M|AH|SH|T M|O|SH|T be B|IH alert AX|L|I R|T to T|O subtle SH|AH|T|AX|L S|O|T|AX|L SH|O|T|AX|L changes SH|E + I|N|JH|AX|Z CH|A|N|JH|AX|Z SH|A|N|JH|AX|Z CH|E + I|N|JH|AX|S SH|E + I|N|JH|AX|S CH|A|N|JH|AX|S SH|A|N|JH|AX|S in I|N behavior B|I|HH|E + I|V|Y|ER B|IH|HH|A|V|Y|ER B|I|HH|A|V|Y|ER B|IH|HH|E + I|B|Y|ER B|I|HH|E + I|B|Y|ER B|IH|HH|A|B|Y|ER B|I|HH|A|B|Y|ER B|IH|HH|E + I|V|Y|I R B|I|HH|E + I|V|Y|I R B|IH|HH|A|V|Y|I R B|I|HH|A|V|Y|I R B|IH|HH|E + I|B|Y|I R B|I|HH|E + I|B|Y|I R B|IH|HH|A|B|Y|I R B|I|HH|A|B|Y|I R or U|R physical P|IH|Z|IH|K|AX|L F|I|Z|I|K|AX|L P|I|Z|I|K|AX|L F|IH|S|IH|K|AX|L P|IH|S|IH|K|AX|L F|I|S|I|K|AX|L P|I|S|I|K|AX|L appearance AX|P|I|R|AX|N|S AX|P|IH|R|AX|N|SH AX|P|I|R|AX|N|SH that D|AE|T DH|A|T D|A|T may M|A point P|U I|N|T to T|O abuse AX|B|Y|O|S AX|B|Y|U|SH AX|B|Y|O|SH