Pediatric Pain Management
Early Milestones
Erikson
Pediatric Hospitalization
Piaget
100

What does FLACC stand for? 

Face, Legs, Activity, Cry & Consolability. 

100

Age in months when a child can roll from their abdomen to their back unassisted.

5 months

100

State where children are ready to be workers & producers, engaging in tasks through completion. 

Industry vs Inferiority

100

Age group where children strive for independence, fear abandonment, injury & death.

School age

100

Egocentric

Preoperational (2-7 years)

200

Age group when you start using Numeric Pain Score.

Age 8

200

Age in months when a child can sit steadily & unsupported. 

8 months. 

200

Stage from 3-6 years 

Initiative vs Guild

200

Age group where hospitalization disrupts autonomy & child benefits from daily routine.

Toddlers

200

Adaptable & flexible. Able to think in abstract terms. 

Formal Operational (11-15 years)

300

Type of pain management where skin to skin contact is used. 

Kangaroo Care

300

Age in months when Moro, Tonic Neck & Rooting Reflex are gone.

4 months.

300

Stage where roles they hope to play become important.

Identity vs Role Confusion.

300

Age group where anger may occur as child struggles for independence.

Adolescence. 

300

Problem solving through trial & error.

Sensorimotor (birth - 2 years)

400

Pain management defined by providing a "nest" using blanket roles.

Containment.

400

Birth weight should triple by this age in months.

12 months 

400

Stage from birth to 1 year

Trust vs Mistrust

400

Age where child fears body mutilation.

Preschoolers
400

Thoughts becoming logical & coherent. 

Concrete Operational (7-11 years)

500

Pain scale used for neonates < 2 months of age.

NIPS (facial expression, cry, breathing pattern, arms. legs & state of arousal). 

500

Age in months when a child says 3-5 words besides Mama & Dada.

12 months
500

Stage where the favorable outcome is self-control & willpower, focusing on self & environment.

Autonomy vs Shame/Doubt

500

The child is reliant on parents & it's important to stick to routines.

Infant

500

Less self-centered.

Concrete Operational (7-11 years)

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