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Text
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<a href="http://doi.org/10.1016/j.acpain.2005.01.002" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.acpain.2005.01.002</a>
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The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Difficult pain assessment and lack of clinician knowledge are ongoing barriers to effective pain management in children with cognitive impairment
Publisher
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Acute Pain
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
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PedPal Lit
Creator
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Malviya S; Voepel-Lewis T; Merkel S; Tait AR
Identifier
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<a href="http://doi.org/10.1016/j.acpain.2005.01.002" target="_blank" rel="noreferrer">10.1016/j.acpain.2005.01.002</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
Description
An account of the resource
2005
2005
Acute Pain
Backlog
Journal Article
Malviya S
Merkel S
PedPal Lit
Tait AR
Voepel-Lewis T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
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<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16490089" target="_blank" rel="noreferrer">http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16490089</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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The revised FLACC observational pain tool: improved reliability and validity for pain assessment in children with cognitive impairment
Publisher
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Paediatr Anaesth
Date
A point or period of time associated with an event in the lifecycle of the resource
2006
Subject
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PedPal Lit
Creator
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Malviya S; Voepel-Lewis T; Burke C; Merkel S; Tait AR
Description
An account of the resource
BACKGROUND: Difficulty with pain assessment in individuals who cannot self-report their pain poses a significant barrier to effective pain management. However, available assessment tools lack consistent reliability as pain measures in children with cognitive impairment (CI). This study evaluated the validity and reliability of the revised and individualized Face Legs Activity Cry and Consolability (FLACC) behavioral pain assessment tool in children with CI. METHODS: Children with CI scheduled for elective surgery were studied. The FLACC was revised to include specific descriptors and parent-identified, unique behaviors for individual children. The child's ability to self-report pain was evaluated. Postoperatively, two nurses scored pain using the revised FLACC scale before and after analgesic administration, and, children self-reported a pain score, if able. Observations were videotaped and later viewed by experienced nurses blinded to analgesic administration. RESULTS: Eighty observations were recorded in 52 children aged 4-19 years. Twenty-one parents added individualized pain behaviors to the revised FLACC. Interrater reliability was supported by excellent intraclass correlation coefficients (ICC, ranging from 0.76 to 0.90) and adequate kappa statistics (0.44-0.57). Criterion validity was supported by the correlations between FLACC, parent, and child scores (rho = 0.65-0.87; P < 0.001). Construct validity was demonstrated by the decrease in FLACC scores following analgesic administration (6.1 +/- 2.6 vs 1.9 +/- 2.7; P < 0.001). CONCLUSIONS: Findings support the reliability and validity of the FLACC as a measure of pain in children with CI.
2006
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2006
Backlog
Burke C
Journal Article
Malviya S
Merkel S
Paediatr Anaesth
PedPal Lit
Tait AR
Voepel-Lewis T
-
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
Backlog
URL Address
<a href="http://doi.org/10.1016/j.pmn.2005.08.004" target="_blank" rel="noreferrer">http://doi.org/10.1016/j.pmn.2005.08.004</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Validity of parent ratings as proxy measures of pain in children with cognitive impairment
Publisher
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Pain Management Nursing
Date
A point or period of time associated with an event in the lifecycle of the resource
2005
Subject
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PedPal Lit; N.I.H.; Adolescent Attitude to Health Bias (Epidemiology) Child Child Behavior Child; Extramural Severity of Illness Index Time Factors; Postoperative/complications/diagnosis/physiopathology/psychology Parents/psychology Proxy/psychology Questionnaires Research Support; Preschool Cognition Disorders/complications Comparative Study Crying Facial Expression Humans Kinesics Michigan Nursing Assessment/methods/standards Nursing Evaluation Research Pain Measurement/methods/nursing/standards Pain
Creator
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Voepel-Lewis T; Malviya S; Tait AR
Description
An account of the resource
Parent-assigned pain scores have been used as proxy measures of pain for children, such as those with cognitive impairment (CI), who cannot self-report. However, the accuracy of parent-assigned pain ratings for children with CI has not been studied. This study evaluated the construct and criterion validity of parental pain scores of children with CI. Fifty-two children aged 4 to 19 years with CI and their parents/guardians were included in this observational study. Children were observed and assessed for pain by parents using the Faces, Legs, Activity, Cry, and Consolability (FLACC) observational tool and the 0 to 10 Numbers Scale, and simultaneously by nurses using the FLACC. Children who were cognitively able scored pain using simplified scales. Parent scores decreased after analgesic administration (6.4 +/- 2.5 vs. 3.1 +/- 2.3; p = .004), supporting their construct validity. Parents' FLACC and Numbers ratings correlated well with nurse ratings (intraclass correlation coefficient = 0.78 [confidence interval = 0.63-0.87] and intraclass correlation coefficient = 0.73 [confidence interval = 0.59-0.83], respectively). The parents' coded Numbers ratings correlated moderately with their child's ratings (rho = 0.57; p = .05) and agreed in 20% to 100% of cases (kappa = 0.388). There was better overall agreement between parents' FLACC scores and child ratings (33%-67% agreement; kappa = 0.43). The parent underestimated the child's pain with FLACC ratings in only one case (8%), but overestimated pain in three cases (25%). This study suggests that parents of children with CI provide reasonable estimates of their child's pain, particularly when using a structured pain tool. Parents may, however, tend to overestimate their child's pain during the early postoperative period.
2005
Identifier
An unambiguous reference to the resource within a given context
<a href="http://doi.org/10.1016/j.pmn.2005.08.004" target="_blank" rel="noreferrer">10.1016/j.pmn.2005.08.004</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
The nature or genre of the resource
Journal Article
2005
Adolescent Attitude to Health Bias (Epidemiology) Child Child Behavior Child
Backlog
Extramural Severity of Illness Index Time Factors
Journal Article
Malviya S
N.I.H.
Pain Management Nursing
PedPal Lit
Postoperative/complications/diagnosis/physiopathology/psychology Parents/psychology Proxy/psychology Questionnaires Research Support
Preschool Cognition Disorders/complications Comparative Study Crying Facial Expression Humans Kinesics Michigan Nursing Assessment/methods/standards Nursing Evaluation Research Pain Measurement/methods/nursing/standards Pain
Tait AR
Voepel-Lewis T