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Messerer, B; Meschik, J; Gutmann, A; Vittinghoff, M; Sandner-Kiesling, A.
Postoperative pain assessment in special patient groups: part II. Children with cognitive impairment.
SCHMERZ. 2011; 25(3): 256-265. Doi: 10.1007/s00482-011-1061-0
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Führende Autor*innen der Med Uni Graz
Messerer Brigitte
Sandner-Kiesling Andreas
Co-Autor*innen der Med Uni Graz
Gutmann Anton
Meschik Jutta
Vittinghoff Maria
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Abstract:
Postoperative pain assessment in children with cognitive impairment poses major challenges to healthcare professionals.Children with moderate to severe cognitive impairment are generally unable to communicate effectively and to self-report the level of pain. Difficulties assessing pain have led to their exclusion from clinical trials and rendered them vulnerable to insufficient treatment of pain.The realization of pain is a particularly important step forward for a better care of children with cognitive impairment.Scales based on a child's own perception of pain and its severity play a limited role in this vulnerable population and pain assessment tools which rely on observing pain behavior are essential. The r-FLACC, which is reliable and valid, includes specific behavioral descriptors and can be used simply and effectively postoperatively in clinical practice. Our task has to be assessing pain as a routine procedure in cognitively impaired children as a keystone for an improved and successful pain management in this very sensitive patient population.
Find related publications in this database (using NLM MeSH Indexing)
Child -
Child, Exceptional - psychology
Child, Preschool -
Female -
Humans -
Infant -
Infant, Newborn -
Intellectual Disability - psychology
Intensive Care Units, Neonatal -
Male -
Nonverbal Communication -
Pain Measurement - methods
Pain, Postoperative - classification Pain, Postoperative - diagnosis Pain, Postoperative - therapy
Physician-Patient Relations -
Quality Assurance, Health Care - methods
Reproducibility of Results -
Verbal Behavior -

Find related publications in this database (Keywords)
Pain
Pain measurement
Pain assessment
Child
Mental retardation
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