Pediatrics Book

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FLACC Scale

Aka: FLACC Scale, Face, Legs, Activity, Cry, Consolability Scale
  1. See Also
    1. Wong-Baker FACES Pain Rating Scale
  2. Indications
    1. Acute pain assessment in preverbal children
  3. Criteria
    1. Face
      1. Score 0: No expression or smile
      2. Score 1: Occasional grimace or frown; appears withdrawn, disinterested
      3. Score 2: Frequent to constant quivering chin, clenched jaw
    2. Legs
      1. Score 0: Normal position or relaxed
      2. Score 1: Uneasy, restless or tense
      3. Score 2: Kicking or legs drawn up
    3. Activity
      1. Score 0: Lies quietly in normal position and moves easily
      2. Score 1: Squirming or shifting back and forth, tense
      3. Score 2: Arched, rigid or jerking
    4. Cry
      1. Score 0: No cry (awake or asleep)
      2. Score 1: Moans or whimpers; occassional complaint
      3. Score 2: Crying steadily, screams or sobs, frequent complaints
    5. Consolability
      1. Score 0: Content and relaxed
      2. Score 1: Distractable, reassured by occasional touching, hugging or being talked to
      3. Score 2: Difficult to console
  4. Interpretation
    1. Total the score from each of the 5 criteria, resulting in a score from 0-10
  5. References
    1. Merkel (1997) Pediatr Nurs 23(3): 293-7 [PubMed]

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