FLACC Scale

FLACC stands for Face (F) Legs (L) Activity (A) Crying (C) and Consolability (C).

FLACC is a pain scale designed for children between the ages of 2 and 7 that provides a pain assessment scale between 0 and 10:

Face
0 No particular expression or smile.
1 Occasional grimace or frown,withdrawn,disinterested.
2 Frequent to constant quivering chin,clenched jaw.

Legs
0 Normal position or relaxed.
1 Uneasy, restless, tense.
2 Kicking, or legs drawn up.

Activity
0 Lying quietly, normal position, moves easily.
1 Squirming, shifting back and forth, tense.
2 Arched, rigid or jerking.

Cry
0 No cry (awake or asleep)
1 Moans or whimpers; occasional complaint.
2 Crying steadily, screams or sobs, frequent complaints.

Consolability
0 Content, relaxed.
1 Reassured by occasional touching, hugging, or being talked to, distractible.
2 Difficult to console or comfort.

Reference

Merkel SI, Voepel-Lewis T, Shayevitz JR, et al. The FLACC: a behavioral scale for scoring postoperative pain in young children. Paediatr Nurs 1997; 23: 293-97.

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