FLACCpainScale-v1.0(2018EN)

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General information

Name: nl.zorg.FLACCpainScale NL.png
Version: 1.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 26-02-2019

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Metadata

DCM::CoderList Werkgroep RadB Verpleegkundige Gegevens
DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Werkgroep RadB Verpleegkundige Gegevens
DCM::CreationDate 1-8-2016
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name zorg
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.12.13
DCM::KeywordList Pijnscore, assessment, FLACC
DCM::LifecycleStatus Final
DCM::ModelerList Werkgroep RadB Verpleegkundige Gegevens
DCM::Name nl.zorg.FLACCpijnScore
DCM::PublicationDate 26-02-2019
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep RadB Verpleegkundige Gegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds
DCM::Version 1.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017).

Concept

The FLACC (Faces, Legs, Activity, Cry and Consolability) is a pain assessment tool, that is used to assess pain in children aged 0-7 years old by observing their behaviour.
The FLACC has five subscales that need to be addressed. The final score indicates whether the observed child suffers pain and 'how much'. The score is often combined with a NRS-score that is completed by the nurses on basis of clinical experience.

Purpose

A pain assessment instrument is a tool in determining the intensity of pain and can be useful in order to determine the effectiveness of pain treatment interventions (pharmacological or non-pharmacological). For young children, it is nevertheless difficult to differentiate between pain or distress/anxiety. This difference is relevant in determining the treatment. The score on a pain assessment instrument remains a snapshot in time.

Evidence Base

For assessing the degree of pain in children with difficulty expressing themselves a number of pain observation instruments exist:

  • CPB
  • Comfort Behaviour Scale/ Comfortneo Scale
  • FLACC

Patient Population

The FLACC assessment score used to assess pain in children between the ages of 0 and 7 years

Information Model


#ConsolabilityCodelist#ActivityCodelist#LegsCodelist#FaceCodelist#11445#11460#11458#11449#11457#11447#11444#CryCodelist#11448#11450FLACCpainScale-v1.0Model(2018EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:12.13.1 Arrowdown.pngFLACCpainScore Root concept of the FLACCpainScale information model. This root concept contains all data elements of the FLACCpainScale information model.
INT.png NL-CM:12.13.2 Arrowright.pngTotalScore 0..1 The total score is the sum of all the individual scores. The total score has a range from 0 - 10.
CO.png NL-CM:12.13.3 Arrowright.pngFace 0..1 Observation Faces;

The extent to which the child’s expression on the face is tensed, grimace, tension of jaws.

List2.png FaceCodelist
CO.png NL-CM:12.13.4 Arrowright.pngLegs 0..1 Observation legs: the extent to which the child is restless (body and legs).
List2.png LegsCodelist
CO.png NL-CM:12.13.5 Arrowright.pngActivity 0..1 Observation activity: the extent to which the child is restless and has tense muscles.
List2.png ActivityCodelist
CO.png NL-CM:12.13.6 Arrowright.pngCry 0..1 Observation Crying: the extent to which the child is crying, whimpers or laments.
List2.png CryCodelist
CO.png NL-CM:12.13.9 Arrowright.pngConsolability 0..1 Observation Consolability: the extent to which the child is consolable.
List2.png ConsolabilityCodelist
TS.png NL-CM:12.13.11 Arrowright.pngScoreDateTime 1 The date and time at which the FLACC score was determined.
ST.png NL-CM:12.13.12 Arrowright.pngComment 0..1 A comment on the circumstances during the measurement.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

FLACCpijnScore
ScoreDatumTijd 21-12-2016 12:05
Gezicht 1 (Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd)
Benen 2 (Schopt of heeft opgetrokken benen)
Activiteit 1 (Kronkelt, wringt zich in bochten, verandert steeds van houding, is gespannen)
Huilen 0 (Huilt niet (wakker of slapend))
Troostbaar 2 (Is moeilijk te troosten of op te beuren)
Totaalscore 6
Toelichting Controle voor toediening pijnmedicatie.

References

1. Stichting Kind&Pijn [Online] Beschikbaar op:http://www.kind-pijn.org/ [Geraadpleegd: 2 augustus 2016] 2. Richtlijn Pijnmeting en Behandeling van pijn bij kinderen, NVK, 2007 [Online] Beschikbaar op:https://www.nvk.nl/Kwaliteit/Richtlijnenoverzicht/Details/tabid/1558/articleType/ArticleView/articleId/760/Pijn-meting-en-behandeling-van.aspx [Geraadpleegd: 21 december 2016]

Valuesets

ActivityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.3 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Lying quiet Act0 0 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Ligt rustig, in een normale houding, maakt rustige bewegingen
Squirming Act1 1 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Kronkelt, wringt zich in bochten, verandert steeds van houding,is gespannen
Arched Act2 2 FLACC_Activiteit 2.16.840.1.113883.2.4.3.11.60.40.4.21.3 Overstrekt zich, trekt een holle rug of ligt ineengekrompen,is verstijfd of maakt schokkende bewegingen

ConsolabilityCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.5 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Content Cons0 0 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is tevreden, ontspannen
Consolable, distractable Cons1 1 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is te troosten door af en toe aan te raken, te knuffelen of toe te spreken; laat zich afleiden
Difficult to console Cons2 2 FLACC_Troostbaar 2.16.840.1.113883.2.4.3.11.60.40.4.21.5 Is moeilijk te troosten of op te beuren

CryCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.4 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No cry Cry0 0 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt niet (wakker of slapend)
Moans Cry1 1 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Kreunt, kermt of jengelt; klaagt af en toe
Crying constantly Cry2 2 FLACC_Huilen 2.16.840.1.113883.2.4.3.11.60.40.4.21.4 Huilt voortdurend, schreeuwt of jammert, klaagt veelvuldig

FaceCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.1 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
No particular expression Face0 0 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Vertoont geen specifieke expressie of glimlach
Occasional grimace Face1 1 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst af en toe of trekt een grimas, is teruggetrokken, ongeïnteresseerd
Frequent to constant frown Face2 2 FLACC_Gezicht 2.16.840.1.113883.2.4.3.11.60.40.4.21.1 Fronst regelmatig tot voortdurend, klemt de kaken op elkaar, heeft een trillende kin

LegsCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.12.13.2 Binding: Required
Conceptname Conceptcode Conceptvalue Codesystem name Codesystem OID Description
Normal position Legs0 0 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Normale houding en/of ontspannen
Restless Legs1 1 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Ongemakkelijk, onrustig, gespannen
Kicking Legs2 2 FLACC_Legs 2.16.840.1.113883.2.4.3.11.60.40.4.21.2 Schopt of heeft opgetrokken benen

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This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
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