Table 6: Pain assessment for children under four years

If the patient is asleep, no further assessment is needed. If the patient is awake check the following:

Cry	Not crying	Score 0
	Crying	Score 1
Posture	Relaxed	Score 0
	Tense	Score 1
Expression	Relaxed or happy	Score 0
	Distressed	Score 1
Response	Responds when spoken to	Score 0
	No response	Score 1

Total score 1 as slight pain, 2 as moderate pain, 3 as severe pain and 4 as the worst pain possible.