FLACC scale

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The Face, Legs, Arms, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2–7 or individuals that are unable to communicate their pain. The scale is scored between a range of 0–10 with 0 representing no pain. The scale has 5 criteria which are each assigned a score of 0, 1 or 2.

Criteria[1] Score - 0 Score - 1 Score - 2
Face No particular expression or smile Occasional grimace or frown, withdrawn, uninterested Frequent to constant quivering chin, clenched jaw
Legs Normal position or relaxed Uneasy, restless, tense Kicking, or legs drawn up
Activity Lying quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, rigid or jerking
Cry No cry (awake or asleep) Moans or whimpers; occasional complaint Crying steadily, screams or sobs, frequent complaints
Consolability Content, relaxed Reassured by occasional touching, hugging or being talked to, distractible Difficult to console or comfort


References

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  1. FLACC Scale (Extracted from The FLACC: A behavioral scale for scoring postoperative pain in young children, by S Merkel and others, 1997, Pediatr Nurse 23(3), p. 293-297)