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Face Legs Activity Cry and Consolability Scale-Revised (FLACC-R)

Face Legs Activity Cry and Consolability Scale-Revised (FLACC-R) - Clinical Hub, UW Health Clinical Tool Search, UW Health Clinical Tool Search, Questionnaires


(REVISED) FLACC Scale
SCORING
Categories 0 1 2
Face No particular
expression or smile.
Occasional grimace or
frown, withdrawn,
disinterested, Sad,
appears worried.
Frequent to constant quivering chin,
clenched jaw, distressed looking
face, expression of fright/ panic.
Legs Normal position or
relaxed; usual tone
and motion to limbs.
Uneasy, restless, tense,
occasional tremors.
Kicking, or legs drawn up, marked
increase in spasticity, constant
tremors, jerking.
Activity Lying quietly, normal
position, moves
easily, regular,
rhythmic
respirations.
Squirming, shifting back
and forth, tense,
tense/guarded
movements, mildly
agitated, shallow/
splinting respirations,
intermittent sighs
Arched, rigid or jerking, severe
agitation, head banging, shivering,
breath holding, gasping, severe
splinting.
Cry No cry (awake or
asleep)
Moans or whimpers:
occasional complaint,
occasional verbal
outbursts, constant
grunting
Crying steadily, screams or sobs,
frequent complaints, repeated
outbursts, constant grunting.
Consolability Content, relaxed Reassured by
occasional touching,
hugging, or being talked
to: distractible
Difficult to console or comfort,
pushing caregiver away, resisting
care or comfort measures.
Each of the five categories (F) Face; (L) Legs; (A) Activity; (C) Cry; (C) Consolability
is scored from 0-2, which results in a total score between zero and ten.
References:
Merkel, S. et al. The FLACC: A Behavioural Scale for Scoring Postoperative Pain in Young Children, Pediatric Nurse
23(3): 293-297, 1997. Copyright: Jannetti Co. University of Michigan Medical Centre.

Malviya, S., Vopel-Lewis, T. Burke, Merkel, S., Tait, A.R. (2006). The revised FLACC Observational Pain Tool:
Improved Reliability and Validity for Pain Assessment in Children with Cognitive Impairment. (Pediatric
Anesthesia 16: 258-265).