Table 4.
CRITERIA | 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Face | No particular expression or smile | Occasional grimace or frown, withdrawn, uninterested | Frequent to constant quivering chin, clenched jaw |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 |
Merkel S, Voepel-Lewis T, Malviya S. Pain assessment in infants and young children: the FLACC scale. Am J Nurse. 2002;102(10)55-8.