FLACC Scale Flashcards
No particular expression or smile
0
Occasional grimace or frown, withdrawn, disinterested, Sad, appears worried
1
Frequent to constant quivering chin, clenched jaw, distressed looking face, expression of fright/ panic.
2
normal position or relaxed, usual tone and motion to limbs
0
Uneasy, restless, tense, occassional tremors
1
Kicking, or legs drawn up,marked Increase in spasticity, constant tremors, jerking.
2
Lying quietly, normal position, moves easily, regular rhythmic respirations
0
Squirming, shifting back and forth, tense, tense/guarded movements, mildly agitated, shallow/ splinting respirations, Intermittent sighs
1
Arched, rigid or jerking, severe agitation, head banging, shivering, breath holding, gasping, severe splinting.
2
no cry (awake or asleep)
0
Moans or whimpers; occasional complaint, occasional verbal outbursts, constant grunting
1
Crying steadily, screams or sobs, frequent complaints, repeated outbursts, constant grunting
2
Content, relaxed
0
Reassured by occasional touching, hugging or being talked to, distractable
1
Difficult to console or comfort, pushing caregiver away, resisting care or comfort measures
2