Non-Verbal Pain Assessment: FLACC Score

Pain is subjective and there’s no simple way to describe your pain to another person.  But, how does one assess the pain being experienced by an infant or child who is non-verbal? The FLACC score has been validated for measuring postoperative pain in children with mild to severe cognitive impairment. It has also been validated for the assessment of pain secondary to surgery, trauma, cancer or other painful diseases for all pre-verbal children (including infants).

Zero, one, or two points is assigned to each of the five categories shown in the table:  Face, Legs, Activity, Cry, and Consolability. Total points assigned may be from zero to ten.  For more information, see the National Hospice and Palliative Care Organization website.

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