COSMIN database

A review of pain measures for hospitalized children with cognitive impairment

Authors:
Crosta, Q. R., Ward, T. M., Walker, A. J., and Peters, L. M.
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.
DOI:
10.1111/jspn.12069
URL:
https://www.ncbi.nlm.nih.gov/pubmed/24612473
Journal:
J Spec Pediatr Nurs
issn:
1744-6155 (Electronic)
Publication year:
2014
pages:
109-18
Functional status:
Cognitive/mental functioning
Age:
Children (0-18)
Disease:
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Non-patient Reported Outcome
Type of measurement instrument:
6 - Clinical rating scales
7 - Observations