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Based on the faces and written descriptions, the patient chooses the face that best describes their level of pain. [1] There are 6 faces in the Wong-Baker Pain Scale. The first face represents a pain score of 0, and indicates "no hurt". The second face represents a pain score of 2, and indicates "hurts a little bit".
A patient's self-reported pain is so critical in the pain assessment method that it has been described as the "most valid measure" of pain. [ 2 ] [ 3 ] The focus on patient report of pain is an essential aspect of any pain scale, but there are additional features that should be included in a pain scale.
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Example pain assessment chart based on the Wong–Baker Faces Pain Rating Scale. Assessment of pain in children depends on the cooperation and developmental stage of the child. Some children cannot assist in their assessment because they have not matured enough cognitively, emotionally, or physically. [12]
However, an equals sign, a number 8, a capital letter B or a capital letter X are also used to indicate normal eyes, widened eyes, those with glasses or those with crinkled eyes, respectively. Symbols for the mouth vary, e.g. ")" for a smiley face or "(" for a sad face. One can also add a "}" after the mouth character to indicate a beard.
The FLACC scale or Face, Legs, Activity, Cry, Consolability scale is a measurement used to assess pain for children between the ages of 2 months and 7 years or individuals that are unable to communicate their pain. The scale is scored in a range of 0–10 with 0 representing no pain.
A drawing by Konrad Lorenz showing facial expressions of a dog. The grimace scale (GS), sometimes called the grimace score, is a method of assessing the occurrence or severity of pain experienced by non-human animals according to objective and blinded scoring of facial expressions, as is done routinely for the measurement of pain in non-verbal humans.