Table 1 FLACC (face, arms, legs, cry, consolability) scale. This is used in preverbal children, and the most appropriate category to describe the child’s behaviour is selected. FLACC (face, legs, activity, cry, consolability) pain-assessment scale
No particular expression or smileOccasional grimace or frown, withdrawn, disinterestedFrequent to constant frown, clenched jaw, quivering chin
Normal position or relaxedUneasy, restless, tenseKicking or legs drawn up
Lying quietly, normal position, moves easilySquirming, shifting back and forth, tenseArched, rigid or jerking
No cry (awake or asleep)Moans or whimpersCrying steadily, screams or sobs, frequent complaints
Content, relaxedReassured by touchDifficult to console or comfort
  • Behavioural scale—can be used in children up to 7 years; can also be used in children with cognitive impairment. Each of the five categories (faces, legs, activity, cry, consolability) is scored 0–2, and the scores added to yield a total from 0 to 10. Behavioural scores need to be considered within the context of the child's psychological status, anxiety and other environmental factors. Each section above is carefully score and a total obtained.