FLACC-R Scale for assessment of pain in children
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When to use
Face
No particular expression or smile
Occasional grimace or frown, withdrawn, disinterested, appears sad or worried
Consistent grimace or frown, frequent/constant quivering chin, clenched jaw, distressed-looking face, expression of fright or panic
Legs
Normal position or relaxed, usual tone and motion to limbs
Uneasy, restless, tense, occasional tremors
Kicking or legs drawn up, marked increase in spasticity, constant tremors or jerking
Activity
Lying quietly, normal position, moves easily, regular, rhythmic respirations
Squirming, shifting, back and forth, tense or guarded movements, mildly agitated such as head back and forth, aggression), shallow, splinting respirations, intermittent sighs
Arched, rigid or jerking, severe agitation, head banging, shivering not rigors), breath holding, gasping or sharp intake of breaths, severe splinting
Cry
No cry/verbalization
Moans or whimpers, occasional complaint, occasional verbal outburst or grunt
Crying steadily, screams, sobs, frequent complaints, repeated outbursts, constant grunting
Consolability
Content and relaxed
Reassured by touching, hugging or being talked to, distractible
Difficult to console or comfort, pushing away caregiver, resisting care or comfort measures
Calculation
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