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🧒 FLACC Pain Scale (Pediatric)

UseWhen to use: infants/children who cannot reliably self-report pain.

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StrataHigher scores indicate more pain behaviors; treat and reassess.

LimitsWhen not to use: when a validated self-report scale is feasible. · Pitfall: scoring during feverish irritability without considering non… · Pair with developmental context.

SourceMerkel SI, et al. Pediatr Nurs 1997 (FLACC)

Runs locally in your browser (no PHI uploaded). For licensed clinicians — not a substitute for clinical judgement.
Stored on this device for revisit reminders

This-shift next steps

After scoring: open the scene pack, peer scores, and the matching pathway. Local reference — no HIS write.

Score + version; reference only — not a substitute for care · no HIS write

Paste the link in Slack, Teams, X, or LinkedIn — the preview image comes from this page’s Open Graph card.

Methodology · worked example, guidelines & full notes
Clinical takeaway

0–10 total.

When to use

When to use: infants/children who cannot reliably self-report pain.

How it works

Five domains each 0–2; total 0–10.

Key points

  • 0–10 total.
  • Reassess after analgesia.
  • Next: Abbey / Wong-Baker / NIPS.

References

  • Merkel SI, et al. Pediatr Nurs 1997 (FLACC)

Worked calculation

The values below come from this tool's own example placeholders and are computed server-side with the formula shown on this page, so the arithmetic can be checked quickly. It demonstrates how to substitute values only — it is not clinical advice and not a real case.

FaceOccasional grimace / frown / withdrawn (1)
LegsUneasy / restless / tense (1)
ActivitySquirming / shifting / tense (1)
CryMoans / whimpers / occasional complaint (1)
ConsolabilityReassured by touching / hugging / talking (1)

→FLACC5/10

  • Band:Moderate pain behaviors
FaceNo particular expression / smile (0)
LegsNormal position / relaxed (0)
ActivityLying quietly / normal position / moves easily (0)
CryNo cry (awake or asleep) (0)
ConsolabilityContent / relaxed (0)

→FLACC0/10

  • Band:Mild / comfortable range
Verification & sources · governance
FAQ

Frequently asked questions

Does FLACC Pain Scale (Pediatric) upload patient data? Where is it calculated?
Calculation runs locally in the browser; inputs and results are not uploaded. For licensed clinicians only; interpret with history, investigations and local protocols — not a diagnosis or prescription.
How is FLACC Pain Scale (Pediatric) calculated in practice? Can you show a worked example?
Inputs: Face Occasional grimace / frown / withdrawn (1), Legs Uneasy / restless / tense (1), Activity Squirming / shifting / tense (1), Cry Moans / whimpers / occasional complaint (1), Consolability Reassured by touching / hugging / talking (1) → Result: FLACC 5 /10(Band: Moderate pain behaviors) Inputs: Face No particular expression / smile (0), Legs Normal position / relaxed (0), Activity Lying quietly / normal position / moves easily (0), Cry No cry (awake or asleep) (0), Consolability Content / relaxed (0) → Result: FLACC 0 /10(Band: Mild / comfortable range)
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