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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.
The World Health Organization recommends using a two step treatment approach based on the level of pain in children. The first step explains mild pain treatment, while the second step considers moderate to severe pain. Opioids, such as morphine, is an example of a drug of choice for moderate-severe pain in children with medical illnesses. [36]
Pain in babies, and whether babies feel pain, has been a large subject of debate within the medical profession for centuries. Prior to the late nineteenth century it was generally considered that babies hurt more easily than adults. [ 1 ]
Pediatric Pain Questionnaire (PPQ) [50] for measuring pain in children; Premature Infant Pain Profile (PIPP) [51] for measuring pain in premature infants; Schmidt Sting Pain Index [52] and Starr sting pain scale [53] both for insect stings; WOMAC : Disease-Specific, to assess knee osteoarthritis outcomes. [30]
The fourth face represents a pain score of 6, and indicates "hurts even more". The fifth face represents a pain score of 8, and indicates "hurts a whole lot"; the sixth face represents a pain score of 10, and indicates "hurts worst". [2] This pain scale was originally developed for children. However, it can be used with all patients age 3 and ...
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When reviewing vital signs in each of the age groups, be alert for significant changes and compare with normal values for each of the signs. For best results, when taking vital signs of infants, respirations are counted first before the infant is disturbed, the pulse next, temperature, and then blood pressure last. [16]
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