de Dolor Source: Hybrid of scales by authors. Reproduction of the FACES® material requires licensing at www.wongbakerfaces.org. Pediatric-Appropriate Pain Assessment Tools Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale Appropriate age for use (per guideline): less than 4 Scoring Categories 0 1 2 Occasional grimace Frequent to constant No particular expression Face or frown, withdrawn, frown, clenched jaw, or smile disinterested quivering chin Normal position or Kicking, Uneasy, restless, tense Legs relaxed or legs drawn up quietly, normal Squirming, shifting back Arched, rigid, Activity position, moves easily and forth, tense or jerking Crying steadily, No cry or whimpers, Cry screams or sobs, (awake or asleep) occasional complaint frequent complaints Reassured by occasional touching, hugging, Difficult to console or Consolability Content, relaxed or being talked to, comfort distractible Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability is scored from 0-2, which results in a total score between zero and ten. © 2002, The Regents of the University of Michigan. All Rights Reserved. Instructions: Patients who are awake: Observe for at least 1-2 minutes. Observe legs and body uncovered. Reposition patient or observe activity, assess body for tenseness and tone. Initiate consoling interventions if needed Patients who are asleep: Observe for at least 2 minutes or longer. Observe body and legs uncovered. If possible reposition the patient. Touch the body and assess for tenseness and tone. Face Score 0 point if patient has a relaxed face, eye contact and interest in surroundings
de Dolor Source: Hybrid of scales by authors. Reproduction of the FACES® material requires licensing at www.wongbakerfaces.org. Pediatric-Appropriate Pain Assessment Tools Legs, Activity, Cry, Consolability (FLACC) Behavioral Scale Appropriate age for use (per guideline): less than 4 Categories Scoring 0 1 2 Face No particular expression or smile Occasional grimace or frown, withdrawn, disinterested Frequent to constant frown, clenched jaw, quivering chin Legs Normal position or relaxed Uneasy, restless, tense Kicking, or legs drawn up Activity quietly, normal position, moves easily Squirming, shifting back and forth, tense Arched, rigid, or jerking Cry No cry (awake or asleep) 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 Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability is scored from 0-2, which results in a total score between zero and ten. © 2002, The Regents of the University of Michigan. All Rights Reserved. Instructions: Patients who are awake: Observe for at least 1-2 minutes. Observe legs and body uncovered. Reposition patient or observe activity, assess body for tenseness and tone. Initiate consoling interventions if needed Patients who are asleep: Observe for at least 2 minutes or longer. Observe body and legs uncovered. If possible reposition the patient. Touch the body and assess for tenseness and tone. Face Score 0 point if patient has a relaxed face, eye contact and interest in surroundings
Iowa-EMS-Clinical-Treatment-and-Interventions-Guidelines-10.9.18.docx