Children and Their Pain Experience

Jerrett, Mary D.

doi:10.1207/s15326888chc1402_3

Cited by 28 publications

(9 citation statements)

References 2 publications

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“…Overall, they were shown to be accurate judges of their child's level of pain and distress. This finding stands in contrast to the clinical judgement literature indicating a tendency for nurses or other professionals working with children in pain to underestimate the intensity of pain experienced (Lander, 1990).…”

Section: Discussioncontrasting

confidence: 99%

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Bennett-Branson¹,

Craig²

1993

Canadian Journal of Behavioural Science / Revue canadienne des

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Despite advances in pharmacological approaches to pain control, most children who undergo surgery continue to experience moderate to severe postoperative pain. Children and their parents are forced to rely on personal resources to cope with this severe stressor. This study examined children and parents' reactions to post-operative pain, including stress appraisal and cognitive-behavioural coping processes from a developmental perspective. Sixty children (7-16 years) and their parents provided interview and psychometric data about pain and coping on the day following surgery. Observational data also was provided by nurses. Findings indicated moderate to severe levels of postoperative pain were common. Older children (10-16 years) provided more complex and multidimensional pain descriptions. All children described a variety of self-control strategies found to be helpful in managing postoperative pain. Older children were more likely to report using cognitive coping strategies, yet they reported lower overall self-efficacy. Multiple regression analyses revealed that coping strategy use, perceived self-efficacy, and frequency of catastrophizing thoughts were significantly predictive of children's pain, affective distress, and physical recovery. Parents were accurate judges of their child's pain and affective distress. Parental anxiety was positively related to child anxiety, and inversely related to child self-efficacy and frequency of cognitive coping. Parents acknowledged historical transmission of coping ideas, largely through verbal suggestions and reassurances. Implications for clinical practice are discussed. ResumeMalgre le progrte des methodes pharmacologiques utilisees pour controler la douleur, la plupart des enfants qui subissent une operation chirurgicale eprouvent encore une douleur postoperatoire moyennement intense ou aigue. Les enfants et leurs parents doivent compter sur leurs propres ressources pour faire face a l'important facteur de stress qu'est la douleur. La priisente etude porte sur les reactions des enfants et des parents a la douleur postoperatoire et comprend une evaluation du stress et des processus d'adaptation cognitifsbehavioraux dans une perspective de developpement. Soixante enfants (ages de 7 a 16 ans) et leurs parents ont fourni des observations lors d'entrevues et des

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Section: Discussioncontrasting

confidence: 99%

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Bennett-Branson¹,

Craig²

1993

Canadian Journal of Behavioural Science / Revue canadienne des

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“…In particular, one question was related to the words used by the children to describe pain. Other findings of this study are reported elsewhere (Jerrett 1985).…”

Section: Data Collectionsupporting

confidence: 86%

Children's pain vocabulary

Jerrett

Evans

1986

Journal of Advanced Nursing

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This paper will address children's pain vocabulary, that is, the self-reported words provided by the children, in a descriptive study carried out to examine how a group of school-age children view their pain. This was an initial step to demonstrate that children can describe pain and do possess a pain vocabulary. Our aim was to determine the feasibility of achieving a meaningful grouping of children's pain words and the pain intensity implied by the words. A sample of 40 school-age children were the subjects for this study. All the pain word descriptors used by the children in response to the question 'Can you think of words to describe what pain feels like?' were categorized on the basis of the Melzack classification.

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“…VAS scaling has proved a robust pain as sessment tool with patients varying in age, educational attainment and cultural back ground [22,[25][26][27][30][31][32], In the present study, patients and nurses were able to use the tool with facility, and there are encouraging indications that the pain estimates collected were valid.…”

Section: Routine Vas Evaluationsupporting

confidence: 52%

Hospitalized Orthopedic Patients in Kuwait: Assessment of Pain

Harrison¹

1992

Med Principles Pract

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All eligible patients hospitalized in the orthopedic hospital in Kuwait during July 1990 (n = 79) were interviewed about their pain and its management. The nurse responsible for the primary care of the patient was also interviewed. Patients and their nurses rated independently how much pain the patient was currently experiencing, and had experienced at specified times, using a 10-point visual analogue scale (VAS). Only a third of the patients reported being without pain when interviewed; a quarter reported having experienced extreme pain during the preceding 24 h, and three quarters reported pain during hospitalization. Nurses provided consistently lower pain estimates than their patients. Among the issues discussed are: the prevalence of pain found, the generality of the findings and their implications for pain management, reported reactions to uncontrolled pain, nurses’ assessment of the addiction risks of using opiates to manage postsurgery pain and possible reasons for discordant VAS ratings by nurses and patients.

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Children and Their Pain Experience

Cited by 28 publications

References 2 publications

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Postoperative pain in children: Developmental and family influences on spontaneous coping strategies.

Children's pain vocabulary

Hospitalized Orthopedic Patients in Kuwait: Assessment of Pain

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