FLACC scale

The Face, Legs, Activity, Cry, Consolability scale or FLACC scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0–10 with 0 representing no pain. The scale has five 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Face	No particular expression or smile	Occasional grimace or frown, withdrawn, uninterested	Frequent to constant quivering chin, clenched jaw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

The FLACC scale has also been found to be accurate for use with adults in intensive-care units (ICU) who are unable to speak due to intubation. The FLACC scale offered the same evaluation of pain as did the Checklist of Nonverbal Pain Indicators (CNPI) scale which is used in ICUs.^[2]

References

↑ 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)
↑ Voepel-Lewis T, Zanotti J, Dammeyer JA, Merkel S (2010). "Reliability and validity of the face, legs, activity, cry, consolability behavioral tool in assessing acute pain in critically ill patients". Am. J. Crit. Care. 19 (1): 55–61. doi:10.4037/ajcc2010624. PMID 20045849.

Pain scales

Medical

General	Brief Pain Inventory Clinical Global Impression Dol scale FLACC scale McGill Pain Questionnaire Oswestry Disability Index Wong-Baker Faces Pain Rating Scale

Insect sting	Schmidt sting pain index Starr sting pain scale

Psychological	Pain Catastrophizing Scale

Animal

Food

Scoville scale

Pain and nociception

By region/system

HEENT	Headache Neck Odynophagia (swallowing) Toothache

Respiratory system	Sore throat Pleurodynia

Musculoskeletal	Arthralgia (joint) Bone pain Myalgia (muscle) Muscle soreness: Acute / Delayed onset

Neurologic	Congenital insensitivity to pain HSAN Type I II congenital sensory neuropathy III familial dysautonomia IV congenital insensitivity to pain with anhidrosis V congenital insensitivity to pain with partial anhidrosis Neuralgia Pain asymbolia Pain disorder Paroxysmal extreme pain disorder Allodynia Chronic pain Hyperalgesia Hypoalgesia Hyperpathia Phantom pain Referred pain

Other	Pelvic pain Proctalgia Back

Tests

Related concepts

Symptoms and signs: general / constitutional (R50–R61, 780.6–780.9)

Temperature

heat:	Fever Fever of unknown origin Drug-induced fever Postoperative fever Hyperhidrosis e.g., Sleep hyperhidrosis; "sweating" Hyperpyrexia Hyperthermia

cold:	Chills Hypothermia

Aches/pains

Malaise and fatigue

Miscellaneous

Flu-like symptoms

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