FLACC Pain Scale

An observational scale used in patients unable to communicate their pain. Used to assess pain in children aged 2 months to 7 years, including those with developmental delays; excluding paralyzed patients.

Clinical parameters

Face

No particular expression or smile0Occasional grimace or frown, withdrawn, disinterested+1Frequent to constant quivering chin, clenched jow+2

Required

Legs

Normal position or relaxed0Uneasy, restless, tense+1Kicking or legs drawn up+2

Required

Activity

Lying quietly, normal position, moves easily0Squirming, shifting, back and forth, tense+1Arched, rigid or jerking+2

Required

Cry

No cry (awake or asleep)0Moans or whimpers; occasional complaint+1Crying steadily, screams, sobs, frequent complaints+2

Required

Consolability

Content, relaxed0Reassured by touching, hugging or being talked to, distractible+1Difficult to console or comfort+2

Required

Score result

0 of 5 score components complete0 / 5

0 / 5

Complete all required parameters to calculate the score.

Still required

Face
Legs
Activity
Cry
Consolability

Clinical context

Instructions: • Patients who are awake: - Observe for at least 2-5 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 5 minutes or longer. - Observe body and legs uncovered. - If possible reposition the patient. - Touch the body and assess for tenseness and tone.