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Text
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<a href="http://doi.org/10.1016/s0885-3924(99)00134-7" target="_blank" rel="noreferrer">http://doi.org/10.1016/s0885-3924(99)00134-7</a>
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Title
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Judging the effectiveness of analgesia for children and adolescents during vaso-occlusive events of sickle cell disease
Publisher
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Journal Of Pain And Symptom Management
Date
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2000
Subject
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Child; Female; Humans; Male; Analgesics; Anemia; adolescent; P.H.S.; Research Support; U.S. Gov't; Interviews; Pain/physiopathology; Opioid/therapeutic use; Analgesia/standards; Nalbuphine/therapeutic use; Sickle Cell/complications; Vascular Diseases/etiology/physiopathology/therapy
Creator
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Beyer JE
Description
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The effectiveness of analgesia during sickle cell crisis was examined in this descriptive, exploratory study. Pain scores (using the African-American Oucher and the Adolescent Pediatric Pain Tool) and analgesics administered were examined during a 2-hour observation/interview in the hospital while children/adolescents with sickle cell disease (SCD) experienced a vaso-occlusive episode (VOE). A convenience sample of twenty-one 6- to 16-year olds with SCD was included. Evidence indicated that 15 of the 21 children in the sample were in moderate to severe pain during their interviews, indicating that the analgesics did not effectively control their pain. Most participants (17) had received nalbuphine as the primary analgesic by intravenous infusion drip and/or patient-controlled analgesia pump. Many reasons were identified for the inadequate analgesia. The results suggested that the pain of SCD is very complex, requiring continuous adjustment of comfort measures, especially analgesics. More research is needed to examine pain control in children with SCD.
2000
Identifier
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<a href="http://doi.org/10.1016/s0885-3924(99)00134-7" target="_blank" rel="noreferrer">10.1016/s0885-3924(99)00134-7</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
2000
Adolescent
Analgesia/standards
Analgesics
Anemia
Backlog
Beyer JE
Child
Female
Humans
Interviews
Journal Article
Journal of Pain and Symptom Management
Male
Nalbuphine/therapeutic use
Opioid/therapeutic use
P.H.S.
Pain/physiopathology
Research Support
Sickle Cell/complications
U.S. Gov't
Vascular Diseases/etiology/physiopathology/therapy