PEDIATRIC FLACC SCALE BEHAVIORAL OBSERVATION PAIN RATING SCALE
CATEGORIES
0
1
2
SCORE
No particular expression or smile; disinterested
Frequent to constant frown, clenched jaw, quivering chin
Occasional grimace or frown, withdrawn
FACE
Uneasy, restless, tense
LEGS
No position or relaxed
Kicking or legs drawn
Lying quietly, normal position, moves easily
Squirming, shifting back and forth, tense Moans or whimpers, occasional complaint Reassured by occasional touching, hugging, or talking to; Distractable
Arched, rigid or jerking
ACTIVITY
Crying steadily, screaming or sobs, frequent complaints
No crying (awake or asleep)
CRY
Difficult to console or comfort
CONSOLABILITY
Content, relaxed
TOTAL
8 NB: These Reference Cards do not replace careful clinical judgment specific to each patient / family situation. PCIC: Palliative Care Interdisciplinary Curriculum is a collaborative effort of OhioHealth, The Ohio State University Wexner Medical Center, and Nationwide Children’s Hospital in Columbus, Ohio, USA, and other contributors. Permission to reproduce any or all of these PCIC Reference Cards is granted for non-commercial educational purposes only, provided that the attribution statement and copyright are displayed. To reproduce for all other purposes, contact Frank D. Ferris at info@pallmed.us. Copyright © Frank D Ferris 2013-2024. All rights reserved. V14.1, 2024 Merkel SI et al. Pediatric Nursing 1997. PMID 9220806. Developed by Merkel SI et al. Mott Children’s Hospital, University of Michigan Health System, Ann Arbor, MI. Used with Permission
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