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FLOWSHEET FOR INITIAL ASSESSMENT OF PAIN IN CHILDREN >1/12

Greet
patient and
caregiver

Use age appropriate tool


Teach patient pain assessment
tool when appropriate

1/12 - 3 3 - 7yrs > 7 yrs


yrs

FLACC FACES Numeric

Assess patient’s
pain score

Pain score
>4?
No
Yes
Ask if patient
requires
Inform doctor intervention

Yes No

Serve medication Suggest relieving measures * +


medication

Reassess after ½
hour

Yes

Pain score >


4?

No

No nursing
action

* Relieving measure include touch, distraction, music, deep breathing, heat or cold packs
FLOWSHEET FOR MANAGING PAIN IN CHILDREN > 1/12

Greet patient
and caregiver

Assess patient using


QUESTT

Is patient
under APS ?

Yes No

Refer APS Check


team notes

Refer WHO Are analgesics


analgesic ladder ordered
No

Yes

Inform nurse to serve


medication if no
contraindications

APS : Acute Pain Service

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