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J Spec Pediatr Nurs. 2014 Apr;19(2):109-18. doi: 10.1111/jspn.12069. Epub 2014 Mar 11.

A review of pain measures for hospitalized children with cognitive impairment.

Author information

1
University of Washington, Seattle, Washington, USA.

Abstract

PURPOSE:

The aims of this review were to examine pain measures for hospitalized children with cognitive impairment who are unable to self-report and to describe the best available evidence for their clinical utility in acute care settings.

DESIGN AND METHODS:

Electronic searches to identify published evidence were conducted and studies reviewed. Reported psychometrics and feasibility of the Non-Communicating Child's Pain Checklist-Postoperative Version, Individualized Numeric Rating scale, Pediatric Pain Profile, and revised Face, Leg, Activity, Cry, and Consolability scale were examined.

CONCLUSIONS:

These four measures have established validity and reliability. However, clinical utility findings varied.

PRACTICE IMPLICATIONS:

The revised Face, Leg, Activity, Cry, and Consolability scale has demonstrated feasibility in acute care settings related to ease of use, time requirements, and flexibility regarding caregiver input.

KEYWORDS:

Cognitive impairment; communication disorder; developmental delay; developmental disability; intellectual disability; language disability; learning disability; nonverbal; pain assessment; pain measures; review

PMID:
24612473
PMCID:
PMC4100776
DOI:
10.1111/jspn.12069
[Indexed for MEDLINE]
Free PMC Article

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