Using the FLACC assessment, what total score is indicated by Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed?

Using the FLACC assessment, what total score is indicated by Face: occasional grimace; Leg: relaxed; Activity: squirming, tense; Cry: no cry; Consolability: content, relaxed?

• A. 0 Points
• B. 1 Point
• C. 2 Points
• D. 3 Points

Answer: (C)

FLACC scores sum five behavioral indicators to gauge pain in nonverbal children. Each category is rated 0, 1, or 2, and the total ranges from 0 to 10. In this scenario, Face with an occasional grimace = 1, Legs relaxed = 0, Activity described as squirming and tense = 1, Cry = no cry = 0, and Consolability = content/relaxed = 0. Adding these gives 1 + 0 + 1 + 0 + 0 = 2. So the total FLACC score is 2, indicating mild pain.

FLACC scores sum five behavioral indicators to gauge pain in nonverbal children. Each category is rated 0, 1, or 2, and the total ranges from 0 to 10. In this scenario, Face with an occasional grimace = 1, Legs relaxed = 0, Activity described as squirming and tense = 1, Cry = no cry = 0, and Consolability = content/relaxed = 0. Adding these gives 1 + 0 + 1 + 0 + 0 = 2. So the total FLACC score is 2, indicating mild pain.