---
title: PCR Pain Scales / NRS-11 and FLACC
description: NRS-11 and FLACC pain scale guides for patient assessment
---

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# PCR Pain Scales / NRS-11 and FLACC

## NRS-11 and FLACC pain scale guides for patient assessment

### NRS-11 Scale for Communicative Adults and Adolescents

 

| Level | Description |
| --- | --- |
| 0 | No pain whatsoever. |
| 1 |  |
| 2 | Mild pain, can maintain normal activities. |
| 3 |  |
| 4 | Moderate pain, no desire to pursue normal activities. |
| 5 |  |
| 6 | Severe pain, can still manage to focus on other things. |
| 7 |  |
| 8 | Extreme pain, cannot focus on anything else. |
| 9 |  |
| 10 | Pain as bad as it could be. |

### FLACC Scale for Ages 0-7 and Noncommunicative Patients

 

| Criteria | Score 0 Points | Score 1 Point | Score 2 Points |
| --- | --- | --- | --- |
| Face | No particular expression or smile | Occasional grimace or frown, withdrawn, uninterested | Frequent to constant quivering chin, clenched jaw |
| Legs | Normal position or relaxed | Uneasy, restless, tense | Kicking, or legs drawn up |
| Activity | Lying quietly, normal position, moves easily | Squirming, shifting, back and forth, tense | Arched, rigid or jerking |
| Cry | No cry (awake or asleep) | Moans or whimpers; occasional complaint | Crying steadily, screams or sobs, frequent complaints |
| Consolability | Content, relaxed | Reassured by occasional touching, hugging or being talked to, distractible | Difficult to console or comfort |

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