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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
Web of Science
PubMed
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- Führende Autor*innen der Med Uni Graz
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Messerer Brigitte
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Sandner-Kiesling Andreas
- Co-Autor*innen der Med Uni Graz
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Gutmann Anton
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Meschik Jutta
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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)
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Child -
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Child, Exceptional - psychology
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Child, Preschool -
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Female -
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Humans -
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Infant -
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Infant, Newborn -
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Intellectual Disability - psychology
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Intensive Care Units, Neonatal -
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Male -
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Nonverbal Communication -
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Pain Measurement - methods
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Pain, Postoperative - classification Pain, Postoperative - diagnosis Pain, Postoperative - therapy
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Physician-Patient Relations -
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Quality Assurance, Health Care - methods
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Reproducibility of Results -
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Verbal Behavior -
- Find related publications in this database (Keywords)
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Pain
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Pain measurement
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Pain assessment
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Child
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Mental retardation