Specifics painful behavior of children with severe multiple disabilities
Authors:
J. Chromá 1; L. Sikorová 2
Authors place of work:
Ústav ošetřovatelství a porodní asistence, Lékařská fakulta, Ostravská univerzita, Ostrava
vedoucí doc. PhDr. D. Jarošová, Ph. D.
1,2
Published in the journal:
Čes-slov Pediat 2015; 70 (4): 239-243.
Category:
Review
Summary
Children with severe multiple disabilities express pain in any other way than the common population of children. Experiencing pain, its symptoms, effects, adaptive behavior, coping and its assessment is different in different stages of childhood, depending on gender, type of pain, and the type or severity of the disability of the individual. These children manifested through pain: motor skills, facial expressions and grimaces, stereotyped movements, voice expressions, changes in appetite or sleep, social behavior, physiological changes, immune, endocrine and humoral functions, which often stems from the socio-communication deficits. As a result of this deficit is then pain assessed by carer/healthcare professionals often ignored or underestimated. In the literature, there are a number of found evidence showing that health professionals have difficulties in non-verbal assessment of pain in these children. Evaluation of these behavioral parameters may contribute to the proper identification and subsequent improvement of pain treatment for children with severe multiple disabilities.
Key words:
pain behaviors, child, severe multiple disability
Zdroje
1. Dowling M. Pain assessment in children with neurological impairment. Paediatr Nurs 2004; 16: 37–38.
2. Hauer J. Identifying and managing sources of pain and distress in child-ren with neurological impairment. Pediatr Ann 2010; 39: 198–205.
3. Hunt A, Mastroyannopoulou K, Goldman A, et al. Not knowing— the problem of pain in children with severe neurological impairment. Int J Nurs Stud 2003; 40: 171–183.
4. Terstegen Ch, Terstegen C, Koot HM, et al. Measuring pain in children with cognitive impairment: pain response to surgical procedures. Pain 2003; 103: 187–198.
5. Solodiuk JC. Parental described pain responses in nonverbal children with intellectual disability. Int J Nurs Stud 2013; 50: 1033–1044.
6. Dubois A, Capdevila X, Bringuier S, et al. Pain expression in children with an intellectual disability. Eur J Pain 2010; 14: 654–660.
7. Breau LM, Camfield CS. The effects of psychopathology on the pain expression of children and youth with intellectual and developmental disabilities. J Mental Health Res Intel Disabil 2011; 4: 290–309.
8. Stallard P, Williams L, Lenton S, et al. Pain in cognitively impaired, noncommunicating children. Arch Dis Child 2002; 85: 460–462.
9. Vašek Š, Vančová A, Hatos G. Pedagogika viacnásobne postihnutých. 1. vyd. Bratislava: Sapientia, 1999: 10.
10. Pipeková J. Kapitoly ze speciální pedagogiky. 3. vyd. Brno: Paido, 2010: 111.
11. Vyhláška Ministerstva školství, mládeže a tělovýchovy ČR 147 ze dne 25. května 2011 o vzdělávání dětí, žáků a studentů se speciálními vzdělávacími potřebami a dětí, žáků a studentů mimořádně nadaných. In: Sbírka zákonů České republiky 2011: částka 56, 1499–1501.
12. Perquin ChW, Hazebroek-Kampschreur AA, Hunfeld JA, et al. Pain in children and adolescents: a common experience. Pain 2000; 87: 51–58.
13. Knegt NC, Pieper MJ, Lobbezoo F, et al. Behavioral pain indicators in people with intellectual disabilities: A systematic review. Am Pain Society 2014; 14: 885–896.
14. Gary W, Goldschneide K. Pain in Children: A practical Guide for Primary Care. 1st ed. USA: Humana Press, 2008: 22–26.
15. Fineout-Overholt E, Johnston L. Teaching EBP: A challenge for educators in the 21st century. Worldviews Evid Based Nurs 2005; 2: 37–39.
16. Palyzová D. Bolest v dětském věku. Postgraduální medicína 2004; 3: 264–270.
17. Masterson M. Understanding pain in patients with intellectual disabilities. Am Nurs Today 2011; 6: 1–6.
18. Oberlander TF, Simons FJ. Pain in Children and Adolescent with Developmental Disabilities. 1st ed. Baltimore: Paul H. Brookes Publishing, 2006: 67–87.
19. Valkenburg AJ, Boerlage AA, Ista E, et al. The COMFORT - behavior scale is useful to assess pain and distress in 0- to 3-year-old children with Down syndrome. Pain 2011; 152: 2059–2064.
20. Breau LM, Finley GA, McGrath PJ, et al. Validation of the non-communicating childrens pain checklist-postoperative version. Anesthesiology 2002; 96: 528–535.
21. Solodiuk J, Scott-Sutherland J, Meyers M, et al. Validation of the Individualized Numeric Rating Scale (INRS): a pain assessment tool for nonverbal children with intellectual disability. Pain 2010; 150: 231–236.
22. Davies RB. Pain in children with Down syndrome: assessment and intervention by parents. Pain Manag Nurs 2010; 11: 259– 267.
23. Walsh M, Morrison TG, McGuire BE. et al. Chronic pain in adults with an intellectual disability: Prevalence, impact, and health service use based on caregiver report. Pain 2011; 152: 1951–1957.
24. Zwakhalen SMG, Van Dongen KAJ, Hamers JPH, et al. Pain assessment in intellectually disabled people: non-verbal indicators. Journal Advanced Nursing 2004; 45: 236–245.
25. Parker J, Belew J. Qualitative evaluation of a pain intensity screen for children with severe neurological disabilities. Pain Manag Nurs 2011; 14: 115–123.
26. McGrath PJ, Rosmus C, Canfield C, et al. Behaviours caregivers use to determine pain in non-verbal, cognitively impaired individuals. Dev Med Child Neurol 1998; 40: 340–343.
27. Hadden KL, von Baeyer CL. Pain in children with cerebral palsy: common triggers and expressive behaviors. Pain 2002; 99: 81–288.
28. Kyrkou M. Health issues and quality of life in women with intellectual disability. J Intellect Disabil Res 2005; 49: 770–772.
29. Van der Putten A, Vlaskamp C. Pain assessment in people with profound intellectual and multiple disabilities; a pilot study into the use of the Pain Behaviour Checklist in everyday practice. Res Dev Disabil 2011; 32: 1677–1684.
30. Stein MT, Gottsegen D, Blasco PA, et al. Chronic hip pain in a boy with mental retardation and cerebral palsy. J Dev Behav Pediatr 2010; 31: 86–91.
31. Oberlander T, Gilbert CA, Chambers CT, et al. Biobehavioral responses to acute pain in adolescents with a significant neurological impairment. Clin J Pain 1999; 15: 201–209.
32. Burkitt CC, Breau LM, Zabalia AM. Parental assessment of pain coping in individuals with intelektuál and developmental disabilities. Res Dev Disabil 2011; 32: 1564–1571.
33. Carter BE, McArthur AM, Cunliffe F. Dealing with uncertainty: parental assessment of pain in their children with profound special needs. Journal Advanced Nursing 2002; 38: 449–457.
34. Breau LM, Camfield CS, McGrath PJ, et al. Pain´s impact on adaptive functioning. J Intellect Disabil Res 2007; 51: 125–134.
35. Temple B, Dubé Ch, McMillan D, et al. Pain in people with developmental disabilities: A scoping review. J Dev Disabil 2012; 18: 73–86.
36. Sullivan MJ, Adams H, Sullivan ME. Communicative dimensions of pain catastrophizing: social cueing effects on pain behavior and coping. Pain 2004; 107: 220–226.
37. Kunz M, Scharmann S, Hemmeter U, et al. The facial expression of pain in patients with dementia. Pain 2007; 133: 221–228.
38. Craig K. The social communication model of pain. Can Psychol 2009; 50: 22–32.
39. Chambers ChT. The role of family factors in pediatric pain. In: McGrath PJ, Finley AG (eds). Pediatric Pain: Biological and Social Context. Seattle: IASP Press, 2003: 99.
40. Breau LM, McGrath PJ, Camfield C, et al. Preliminary validation of an observational pain checklist for persons with cognitive impairments and inability to communicate verbally. Dev Med Child Neurol 2000; 42: 609–616.
41. Srouji R, Ratnapalan S, Schneeweiss S. Pain in children: Assessment and nonpharmacological management. Int J Pediatr 2010;1–21.
42. Voepel-Lewis T, Malviya S, Tait AR. Validity of parent ratings as proxy measures of pain in children with cognitive impairments. Pain Manag Nurs 2005; 6: 168–174.
Štítky
Neonatology Paediatrics General practitioner for children and adolescentsČlánok vyšiel v časopise
Czech-Slovak Pediatrics
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