Pain Assessment of Children

Question 1

What are the categories for the FLACC scale?
When do we use it?

Answer 1

Facial Expression
Leg movement
Activity
Cry
Consolability

Children who are too young to understand the Wong baker scale, or in non verbal patients - adult or child.

Question 2

When would we use Wong Baker vs Numerical

Answer 2

Older than 4 years old, but we’d use simple concrete words.
If unable to understand the number scale we may use Wong baker.

Question 3

What makes pain Chronic? What might we use to assess their pain?

Answer 3

Any pain that persists for 3 months of longer than an expected range of healing?

The chronic or reoccurring pain assessment, a coloring sheet with a body where they can color location and intensity of pain

Question 4

Nonpharmacological pain control techniques?

What about pharmacological?

Answer 4

Non:
Distraction
Relaxation
Guided Imagery
Cutaneous stimulation
Kangaroo Care

Pharmacological:
Nonopioids –> Tylenol Ibuprofen
Opioids –> Hydromorphone
Coanalgesic –> Zofran, Gabapentin