FLACC Scale (Face, Legs, Activity, Cry, Consolability)


The FLACC Scale is an observational pain assessment tool that evaluates five behavioral indicators: facial expression, leg movement, activity level, crying, and consolability. Each category is scored from 0 to 2, with a total score ranging from 0 (no pain) to 10 (severe pain). It is commonly used for young children (under 7 years) or non-verbal individuals.


Key Measures:

  • Pain Intensity: 0 (No Pain) to 10 (Severe Pain)
  • Behavioral Indicators: Facial expressions, limb movement, and body activity
  • Best for: Non-verbal or young children unable to self-report

Accessing the FLACC Scale

FLACC Scale PDF


Pros of using the FLACC Scale

Quick and easy to use – Can be completed within a minute by trained healthcare providers.

Effective for non-verbal children – Works well for those who cannot self-report pain.

Widely validated – Used in various medical and rehabilitation settings.

Observable pain indicators – Includes behavioral cues rather than relying on self-report.

Cons of using the FLACC Scale

Less accurate for chronic pain – Designed for acute pain assessment, may not capture long-term discomfort.

Observer bias – Pain ratings can vary between different caregivers or clinicians.

Limited emotional context – Does not assess emotional distress associated with pain.