A psychobiologic approach to pediatric pain: Part I. History, physiology, and assessment strategies

Zeltzer, Lonnie K.; Bush, Joseph P.; Chen, Eric; Riveral, Alpha

doi:10.1016/s0045-9380(97)80025-4

Cited by 33 publications

(23 citation statements)

References 229 publications

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“…However, behavioral observations are necessary for pain assessment in very young children and in children who do not have the ability to report their pain due to disability or disease. Several reliable, valid behavioral observation methods have been developed for the assessment of pediatric behaviors related to pain [47,48].…”

Section: Developmental Issues In Pain Assessmentmentioning

confidence: 99%

Assessment tools for the evaluation of pain in the oncology patient

Anderson

2007

Current Science Inc

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The control of cancer pain is an essential goal in the care of patients with cancer. Inadequate pain assessment by health care providers is a major risk factor for undertreatment of pain. Repeated and accurate pain assessment is required for optimal pain management. Pain assessment tools such as simple rating scales and short pain questionnaires can facilitate routine measurement of cancer-related pain in clinical and research settings. In addition to measuring pain intensity, it is important to determine the impact of pain on patients' function, mood, and quality of life. Developmental issues must be considered when assessing the pain of children and elderly individuals with cancer. Novel technologies may be used to improve accurate and timely pain measurement.

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Section: Developmental Issues In Pain Assessmentmentioning

confidence: 99%

Assessment tools for the evaluation of pain in the oncology patient

Anderson

2007

Current Science Inc

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“…As illustrated in Extract 2, initiating the clinical interview with open-ended questions directed to the child has the benefits of (1) allowing clinicians to conduct a multidimensional assessment of pain; (2) eliciting the patient’s and his/her family’s behaviors, beliefs and attitudes toward the pain problems (Zeltzer et al 1997); and (3) recognizing that children with chronic pain have a story to tell, a story to which clinicians have often been unwilling to listen (Carter 2002; Kenny 2004; Nutkiewicz 2008). This type of interviewing, moreover, has great potential for contributing to several patient-centeredness components (Stewart et al 1995).…”

Section: Discussionmentioning

confidence: 99%

Preserving the child as a respondent: Initiating patient-centered interviews in a US outpatient tertiary care pediatric pain clinic

Clemente

Meldrum

Tsao

et al. 2013

CAM

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This article identifies some of the challenges of implementing patient-centeredness in multiparty clinical visits. Specifically, it describes four interview practices with which clinicians address these challenges in a US outpatient tertiary care pediatric pain clinic. Using the qualitative method of conversation analysis, we analyze clinicians' child-directed (ages 10-18) interviewing during the initial stage of 51 intake visits. In particular, we analyze the challenges involved in open-ended questioning, a form of interviewing associated with patient-centeredness. Open-ended questioning presents participants with competing demands: although it gives children an opportunity to talk about their illness in their own terms, it also asks them to be responsible for a larger part of the communication work. Moreover, the presence of a parent as an alternative informant can lead to the loss of the child as an informant if clinicians fail to give the child, particularly younger ones, enough guidance in answering. We argue that a flexible range of interviewing practices may be a step towards offsetting children's and parents' past negative experiences with clinicians, improving patient outcomes and implementing child/patient-centeredness.

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“…It may be difficult to differ pain from anxiety when stress behavior is present. When submitted to acute pain, either stress or pain are combined and exteriorized by behavior (Zeltzer et al 1997, Hogan 2002. This could explain the lower hyperalgesia thresholds observed in GF3 group 1 hour after sensitizations, compared to GF6 and GF9.…”

Section: Discussionmentioning

confidence: 99%