FLACC Pain Scale: Assessing Pain in Young Children

The FLACC Pain Scale helps doctors assess pain in young children who cannot speak. By observing behaviours like crying and movement, clinicians can determine comfort levels and provide better care.

FLACC Pain Scale behavioral assessment PDF form for evaluating pain in children
FLACC

FLACC Pain Scale

The FLACC Pain Scale is a behavioural tool used to measure pain in children or patients unable to speak. Standing for Face, Legs, Activity, Cry, and Consolability, it lets clinicians observe these five areas to score pain levels. It's essential for ensuring effective paediatric pain management in clinical settings.

Category

Physical health
Monitoring
Surgical

Disease

Assessment
Clinical Measurement
Clinical Care

Source

(Merkel et al., 1997)

Author Name

Merkel, S.I., Voepel-Lewis, T., Shayevitz, J.R. & Malviya, S. (1997)

Page Editor

Thijs Sondag

What is FLACC Pain Scale

The FLACC Pain Scale is a trusted method for assessing pain in children who cannot speak. It helps clinicians measure discomfort levels accurately and reliably. This assessment looks at five specific behaviours: Face, Legs, Activity, Cry, and Consolability. It gives a clear picture of a child's distress without needing any words. Observers score each category from zero to two based on signs like a quivering chin or kicking legs. The total score ranges from zero to ten, where higher numbers mean more severe pain. This straightforward scoring system makes it easy to track changes over time. Healthcare teams use this tool for children between two months and seven years old, often after surgery. It is quick to use and fits nicely into busy hospital routines. By observing these physical cues, staff can manage pain effectively and ensure young patients stay comfortable during their recovery process.

FLACC Scoring

The FLACC Pain Scale can be scored using one main approach based on direct clinical observation. You assess five specific categories: Face, Legs, Activity, Cry, and Consolability. Assign a score of 0, 1, or 2 to each section depending on the intensity of the signs you see. For example, kicking legs might get a 2. Sum these up for a total ranging from 0 to 10. A 0 indicates the child is relaxed, while scores of 7 to 10 suggest severe discomfort. It is a handy way for nurses to track pain levels and decide if more relief is needed for patients who cannot talk.

View scoring form

Advantages

Diagnostic accuracy

Enables precise identification of patient health status.

Outcome tracking

Measures healthcare intervention results systematically.

User-friendly

Simple to understand and complete for patients.

5
Minutes
5
Questions

Collect FLACC Pain Scale data with WeGuide, the all in one patient engagement platform

Digitise paediatric pain assessments. Automatically score and track FLACC results to improve patient monitoring.

Support Your patient in no time - all under your own brand

Our platform combines the knowledge of 100+ digital health solutions built, letting you easily build your patient engagement app for research or clinical use. Collect PROMs, support patients on waiting lists, or gather vital signs data. This is how:

Learn More

Program Builder

Import your clinical or research protocol, upload your forms and and off you go.
Learn More
We Guide

Whitelabelling

Get your own app in the store and created a trusted environment for your patients or participants.
Learn More

Turn on components, dependent on your usecase

Setup Program Information, Collect Wearable data.
Learn More

Support The Full Journey

Use WeGuide to support your patients or participants in the full journey, starting from screening & consent to collecting recurring data for months to come..
Learn More

It’s your turn

Every WeGuide project, saves researchers and clinicians - 9 months and $450,000 - creating impactful digital health solutions.

By clicking organise a demo, you’re confirming that we can contact you to set up a demonstration.
Thank you! Your submission has been received!
Oops! Something went wrong. Please try again.
No items found.