Brief report: behaviors identified by caregivers to detect pain in noncommunicating children
2002
Stallard P; Williams L; Velleman R; Lenton S; McGrath PJ
Journal of Pediatric Psychology
2002
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).
Journal Article
<a href="http://doi.org/10.1093/jpepsy/27.2.209" target="_blank" rel="noreferrer">10.1093/jpepsy/27.2.209</a>
The development and evaluation of the pain indicator for communicatively impaired children (PICIC)
Child; Female; Male; Prospective Studies; Severity of Illness Index; Facial Expression; Cues; adolescent; Non-U.S. Gov't; RDF Project; caregivers; Human; Support; Central Nervous System Diseases/complications; Cognition Disorders/complications; Communication Disorders/complications; Pain Measurement/methods; Pain/complications/physiopathology/psychology
A previous study found that parents of communicatively impaired children with severe cognitive impairments identified six core cues as indicating definite or severe pain in their child (J. Pediatr. Psychol. 27 (2002) 209). The frequency of each cue was assessed by 67 caregivers of communicatively impaired children, twice per day over a 1 week period. On each occasion the caregivers also rated whether they considered their child to be in pain and the severity of any pain. There was a statistically significant relationship between five of the cues and the presence and severity of pain. The single cue of screwed up or distressed looking face was the strongest predictor and on its own correctly classified 87% of pain and non-pain episodes. The study highlights the potential clinical utility of a short carer completed assessment to assess pain in this vulnerable group of children.
2002
Stallard P; Williams L; Velleman R; Lenton S; McGrath PJ; Taylor G
Pain
2002
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).
Journal Article
Pain in cognitively impaired, non-communicating children
Pain; cognitive impairment; non-communicating
AIM To detail the everyday occurrence of pain in non-communicating children with cognitive impairment. METHODS Thirty four parents of cognitively impaired verbally non-communicating children completed pain diaries over a two week period. Each day, for five defined periods, parents rated whether their child had been in pain, and if so, its severity and duration. RESULTS Twenty five (73.5%) children experienced pain on at least one day, with moderate or severe levels of pain being experienced by 23 (67.6%). Four children (11.7%) experienced moderate or severe pain lasting longer than 30 minutes on five or more days. No child was receiving active pain management. CONCLUSIONS Everyday pain in children with severe cognitive impairment is common, yet is rarely actively treated.
2001-12
Stallard P; Williams L; Lenton S; Velleman R
Archives Of Disease In Childhood
2001
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).
Journal Article