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J Spec Pediatr Nurs. 2013 Jul;18(3):189-201. doi: 10.1111/jspn.12026. Epub 2013 Mar 24.

Pediatric nurses' postoperative pain management practices: an observational study.

Author information

1
Faculty of Health, Social Care and Education, St George's University of London, London, United Kingdom. a.twycross@sgul.kingston.ac.uk

Abstract

PURPOSE:

This study was an in-depth examination of pediatric postoperative pain care.

DESIGN AND METHODS:

Participant observational data were collected on the care of 10 children. Particular attention was paid to actions when pain scores were ≥5 and to the relationship between pain scores and medications administered.

RESULTS:

A pattern of care emerged of giving pain medications regularly even if they were prescribed pro re nata. Actions when pain scores were ≥5 varied. Recorded pain scores rarely guided treatment choices.

PRACTICE IMPLICATIONS:

The use of pain scores to guide treatment choices needs further debate. Future research should explore the implications of divorcing treatment from pain scores on children's pain experience.

KEYWORDS:

Pain assessment; pediatric pain; postoperative pain

PMID:
23822843
DOI:
10.1111/jspn.12026
[Indexed for MEDLINE]
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