The Face, Legs, Activity, Cry, and Consolability (FLACC) scale: Difference between revisions

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==Objective==
==Objective==
The Face, Legs, Activity, Cry and Consolability (FLACC) scale is an observational pain scale. It is widely used in the paediatric population to assess pain in infants and children who are unable to verbally express their pain. <ref name=":0">Crellin DJ, Harrison D, Santamaria N, Babl FE. [https://pubmed.ncbi.nlm.nih.gov/26207651/ Systematic review of the Face, Legs, Activity, Cry and Consolability scale for assessing pain in infants and children]. PAIN. 2015 Nov;156(11):2132–51. </ref>Instead, the FLACC scale is developed to help understand their pain experience by observing facial experessions and behavioural patterns, to enable the provision of effective pain intervention. <ref>voepel-Lewis T, Merkel S, Tait AR, Trzcinka A, Malviya S. [https://pubmed.ncbi.nlm.nih.gov/12401598/ The Reliability and Validity of the Face, Legs, Activity, Cry, Consolability Observational Tool as a Measure of Pain in Children with Cognitive Impairment]. Anesthesia & Analgesia. 2002 Nov;95(5):1224–9.</ref>
==Intended Population==
==Intended Population==
The FLACC scale is primarily designed for infants and children from 2 months to 7 years. <ref name=":0" /> Specifically, it targets those who have difficulty in verbalising pain due to developmental, cognitive or communication barriers. <ref>Willis MHW, Merkel S, Voepel-Lewis T, Shobha Malviya. [https://pubmed.ncbi.nlm.nih.gov/12836995/ FLACC Behavioral Pain Assessment Scale: a comparison with the child’s self-report.] 2003 Jul 3;29(3):195–8.</ref>
==Method of Use==
==Method of Use==
The FLACC scale includes five sections (i.e., face, legs, activity, consolability and cry) of signs and behaviors which indicate distress. The total score for FLACC scale ranges from 0-12, with each category is scored on a scale of 0-2.<ref>Chan AY, Ge M, Harrop E, Johnson M, Oulton K, Skene SS, et al. [https://journals.sagepub.com/doi/full/10.1177/02692163211049309 Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice.] Palliative Medicine. 2021 Dec 29;36(1):30–43. ‌</ref>
==Reference==
==Reference==
==Evidence==
==Evidence==
===Reliability===
===Reliability===

Revision as of 09:24, 6 August 2023

Original Editor - Trista Chan

Top Contributors - Trista Chan  

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Objective[edit | edit source]

The Face, Legs, Activity, Cry and Consolability (FLACC) scale is an observational pain scale. It is widely used in the paediatric population to assess pain in infants and children who are unable to verbally express their pain. [1]Instead, the FLACC scale is developed to help understand their pain experience by observing facial experessions and behavioural patterns, to enable the provision of effective pain intervention. [2]

Intended Population[edit | edit source]

The FLACC scale is primarily designed for infants and children from 2 months to 7 years. [1] Specifically, it targets those who have difficulty in verbalising pain due to developmental, cognitive or communication barriers. [3]

Method of Use[edit | edit source]

The FLACC scale includes five sections (i.e., face, legs, activity, consolability and cry) of signs and behaviors which indicate distress. The total score for FLACC scale ranges from 0-12, with each category is scored on a scale of 0-2.[4]

Reference[edit | edit source]

Evidence[edit | edit source]

Reliability[edit | edit source]

Validity[edit | edit source]

Responsiveness[edit | edit source]

Miscellaneous[edit | edit source]

Links[edit | edit source]

References[edit | edit source]

  1. 1.0 1.1 Crellin DJ, Harrison D, Santamaria N, Babl FE. Systematic review of the Face, Legs, Activity, Cry and Consolability scale for assessing pain in infants and children. PAIN. 2015 Nov;156(11):2132–51.
  2. voepel-Lewis T, Merkel S, Tait AR, Trzcinka A, Malviya S. The Reliability and Validity of the Face, Legs, Activity, Cry, Consolability Observational Tool as a Measure of Pain in Children with Cognitive Impairment. Anesthesia & Analgesia. 2002 Nov;95(5):1224–9.
  3. Willis MHW, Merkel S, Voepel-Lewis T, Shobha Malviya. FLACC Behavioral Pain Assessment Scale: a comparison with the child’s self-report. 2003 Jul 3;29(3):195–8.
  4. Chan AY, Ge M, Harrop E, Johnson M, Oulton K, Skene SS, et al. Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice. Palliative Medicine. 2021 Dec 29;36(1):30–43. ‌