Page 95 - CPG - Clinical Practice Guidelines - Management of Cancer Pain

Management of Cancer Pain (Second Edition)
b. FLACC Scale

This is an observational score, and is used for paediatric patients aged
>1 month to 3 years. It may also be used in adult patients who are unable
to communicate verbally, e.g. very elderly patients, cognitively impaired
patients.
1. Observe behaviour
6HOHFW D VFRUH DFFRUGLQJ WR EHKDYLRXU
3. Add the scores for the total
(DFK RI WKH ¿YH FDWHJRULHV ) IDFH / OHJV $ DFWLYLW\ & FU\ DQG
(C) consolability is scored from 0-2, resulting in the total range of 0-10.
Scoring
Category
0 1 2
Face No particular Occasional grimace or Frequent to constant
Scoring
expression or smile frown, withdrawn, quivering chin,
Category
1
2
0 disinterested clenched jaw
Legs
Kicking or legs
Face Normal position or Occasional grimace orNo particular Uneasy, restless, Frequent to constant
expression or smile frown, withdrawn, quivering chin,
drawn up
relaxed
tense
disinterested
clenched jaw
Activity Lying quietly, Squirming, shifting Arched, rigid or
jerking
normal position,
Uneasy, restless,
Legs Normal position or back and forth, tense Kicking or legs
moves easily tense drawn up
relaxed
Cry
Arched, rigid or
Squirming, shifting
Activity No cry (awake or Moans or whimpers; Crying steadily,
Lying quietly,
jerking
normal position, occasional complaint screams or sobs,
asleep)
back and forth, tense
moves easily frequent
complaints
Cry No cry (awake or Moans or whimpers; Crying steadily,
screams or sobs,
asleep)
Reassured by
Consolability Content, relaxed occasional complaint Difficult to console
occasional touching, frequent
hugging or being talked complaints
Consolability Content, relaxed to, distractible Difficult to console
Reassured by
occasional touching,
Source: Ministry of Health, Malaysia. Pain as the 5 9LWDO 6LJQ *XLGHOLQH Edition.
rd
th
hugging or being talked
Putrajaya: MoH; 2018. to, distractible
No pain 0
F 9HUEDO 5DWLQJ 6FDOH 956
Mild pain
1
Moderate pain 2
No pain 3 0
Severe pain
Mild pain 4 1
Very severe pain
Moderate pain 2
Severe pain 3
Very severe pain 4
7KH 956 FRQVLVWV RI D OLVW RI DGMHFWLYHV GHVFULELQJ GLIIHUHQW OHYHOV RI SDLQ
intensity. Patients are asked to select the adjective that best represents
WKHLU SDLQ 7KLV VKRXOG UHÀHFW WKH H[WUHPHV RI WKLV GLPHQVLRQ IURP µQR
SDLQ¶ WR µYHU\ VHYHUH SDLQ¶ DQG VXI¿FLHQW LQWHUYHQLQJ DGMHFWLYHV WR FDSWXUH
JUDGDWLRQV RI SDLQ LQWHQVLW\ WKDW PD\ EH H[SHULHQFHG EHWZHHQ H[WUHPHV
956V DUH VFRUHG DV DERYH EXW WKHVH DUH UDQNV QRW HTXDO LQWHUYDOV
$GDSWHG: Outcome measures. The Faculty of Pain Medicine of the Royal College of
Anaesthetists. 2019.
77
e-cpg inside text-Cancer pain-25/5/24.indd 77 09/08/2024 12:09 AM