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Pain evaluation scales
Self-evaluation scale - Children over 5 years and adults
S im p le verbal scale (S V S )
Intensity o f p ain No p ain M ild p ain M o d erate p ain S evere p ain
S co ring 0123
W rite d o wn 0 + ++ +++
Observational evaluation scale - Children 2 months-5 years
F L A C C scale (F ace L im b A ctivity C ry C o nso lability )
Item s 0 S co ring 2
1
Face No p articular exp ressio n O ccasio nal grim ace o r F requent to co nstant
o r sm ile fro wn, withd rawn, fro wn, clenched jaw,
d isinterested quivering chin
Legs No rm al p o sitio n o r U neasy , restless, tense K ick ing, o r legs d rawn
Activity
relaxed up
L y ing quietly , no rm al S quirm ing, shifting back A rched , rigid o r jerk ing
p o sitio n, m o ves easily and fo rth, tense
Cry No cry (awak e o r asleep ) M o ans o r whim p ers, C ry ing stead ily , scream s
o ccasio nal co m p laint o r so bs, frequent
co m p laints
Consolability C o ntent, relaxed R eassured by o ccasio nal D ifficult to co nso le o r
to uching, hugging o r co m fo rt
being talk ed to ,
d istractible
E ach catego ry is sco red fro m 0 to 2 , giving a final sco re between 0 and 1 0 .
0 to 3: m ild p ain, 4 to 7: m o d erate p ain, 7 to 10: severe p ain
Observational evaluation scale - Children under 2 months
NF C S scale (Neo natal F acial C o d ing S y stem )
S co ring B ro w bulge E y e squeez e
01 Naso labial furro w
Item s no y es
no y es O p en lip s
Brow bulge no y es
Eye squeeze no y es
Nasolabial furrow
Open lips
A sco re o f 2 o r m o re signifies significant p ain, requiring analgesic treatm ent.
30
Pain evaluation scales
Self-evaluation scale - Children over 5 years and adults
S im p le verbal scale (S V S )
Intensity o f p ain No p ain M ild p ain M o d erate p ain S evere p ain
S co ring 0123
W rite d o wn 0 + ++ +++
Observational evaluation scale - Children 2 months-5 years
F L A C C scale (F ace L im b A ctivity C ry C o nso lability )
Item s 0 S co ring 2
1
Face No p articular exp ressio n O ccasio nal grim ace o r F requent to co nstant
o r sm ile fro wn, withd rawn, fro wn, clenched jaw,
d isinterested quivering chin
Legs No rm al p o sitio n o r U neasy , restless, tense K ick ing, o r legs d rawn
Activity
relaxed up
L y ing quietly , no rm al S quirm ing, shifting back A rched , rigid o r jerk ing
p o sitio n, m o ves easily and fo rth, tense
Cry No cry (awak e o r asleep ) M o ans o r whim p ers, C ry ing stead ily , scream s
o ccasio nal co m p laint o r so bs, frequent
co m p laints
Consolability C o ntent, relaxed R eassured by o ccasio nal D ifficult to co nso le o r
to uching, hugging o r co m fo rt
being talk ed to ,
d istractible
E ach catego ry is sco red fro m 0 to 2 , giving a final sco re between 0 and 1 0 .
0 to 3: m ild p ain, 4 to 7: m o d erate p ain, 7 to 10: severe p ain
Observational evaluation scale - Children under 2 months
NF C S scale (Neo natal F acial C o d ing S y stem )
S co ring B ro w bulge E y e squeez e
01 Naso labial furro w
Item s no y es
no y es O p en lip s
Brow bulge no y es
Eye squeeze no y es
Nasolabial furrow
Open lips
A sco re o f 2 o r m o re signifies significant p ain, requiring analgesic treatm ent.
30
