Pain rating using FLACC scale



Pain rating using FLACC scale





The Face, Legs, Activity, Cry, Consolability (FLACC) scale uses the characteristics listed below to measure pain in infants.

The FLACC scale is a behavioral pain assessment scale for use in nonverbal patients who can’t report pain. Here’s how to use it: 1. Rate the patient in each of the five measurement categories; 2. Add the scores together; 3. Document the total pain score.



































Score
Category 0 1 2
Face No particular expression or smile Occasional grimace or frown, withdrawn, disinterested Frequent to constant frown, clenched jaw, and quivering chin
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 “talking to,” dis-tractible Difficult to console or comfort

Adapted with permission from “The FLACC: A behavioral scale for scoring postoperative pain in young children,” by S. Merkel, et al. Pediatric Nursing, 23(3), 1997, p. 293-297. Copyright 1997 Jannetti Co. University of Michigan Medical Center.

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Jul 20, 2016 | Posted by in NURSING | Comments Off on Pain rating using FLACC scale

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