A review of pain measures for hospitalized children with cognitive impairment
- Crosta, Q. R., Ward, T. M., Walker, A. J., and Peters, L. M.
- 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.
- J Spec Pediatr Nurs
- 1744-6155 (Electronic)
- Publication year:
- Symptom status:
- Physical state
- Children (0-18)
- Mental and behavioural disorders and related symptoms
- PRO / non-PRO:
- Non-patient Reported Outcome
- Type of measurement instrument:
- 6 - Clinical rating scales
7 - Observations
- INRS - Individualized Numeric Rating Scale
NCCPC-PV - Non-communicating Children’s Pain Checklist postoperative version
PPP - Pediatric Pain Profile
r-FLACC - revised Face, Leg, Activity, Cry and Consolability scale