Clinical validation of FLACC: preverbal patient pain scale.

作者: Linda S. Hynan , Renee C B Manworren

DOI:

关键词: Physical therapyPediatric intensive care unitFLACC scalePain scaleObservational studyPacuPain assessmentPain reliefAnalgesicAnesthesiaMedicine

摘要: PURPOSE: To test the validity of Faces, Legs, Activity, Cry and Consolability (FLACC) pain assessment tool by measuring changes in scores response to analgesics. METHOD: METHODS: Pediatric nurses used FLACC scale assess 147 children under 3 years age who were hospitalized pediatric intensive care unit (PICU), post-anesthesia (PACU), surgical/trauma unit, hematology/oncology or infant unit. is an observational for quantifying behaviors. Facial expression, leg movement, activity, cry, consolability are each scored 0-2, a total score 0-10. The measurements done pre-analgesia, at predicted onset analgesia, peak analgesia. FINDINGS: Pre-analgesia significantly higher than post-analgesic patients received opioids non-opioids. Peak analgesia across groups not different reflect effective relief regardless analgesic choice. CONCLUSIONS: appropriate preverbal from surgery, trauma, cancer, other disease processes. results support nurses' clinical judgment determine choice rather providing distinct guide selection.

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