IDEAS home Printed from https://ideas.repec.org/a/sae/clnure/v7y1998i2p103-119.html
   My bibliography  Save this article

Pain Assessment in Children with Cognitive Impairment

Author

Listed:
  • Debra Fanurik

    (Arkansas Children's Hospital, University of Arkansas for Medical Sciences)

  • Jeffrey L. Koh

    (Arkansas Children's Hospital, University of Arkansas for Medical Sciences)

  • R. Dale Harrison

    (Arkansas Children's Hospital, University of Arkansas for Medical Sciences)

  • Timothy M. Conrad

    (Arkansas Children's Hospital, University of Arkansas for Medical Sciences)

  • Caroline Tomerun

    (Arkansas Children's Hospital, University of Arkansas for Medical Sciences)

Abstract

Prior to surgery, 47 children (ages 8 to 17) with borderline to profound cognitive impairment were administered tasks to evaluate their understanding of the concepts of magnitude and ordinal position and their abilities to use a 0 to 5 numerical scale to rate pain levels in schematic faces. Of the 111 children (ages 4 to 14) without cognitive impairment, were administered the same tasks. Nurses conducting preoperative evaluations predicted whether children would understand the numerical scale. Fifty percent (= 3) of children with borderline and 35% (n = 7) of children with mild cognitive impairment (and all children 8 years and older nonimpaired) correctly used the scale. Half of the children with cognitive impairment demonstrated skills (magnitude and ordinal position) that may allow them to use simpler pain rating methods. Nurses overestimated the abilities of cognitively impaired children (and younger children without cognitive impairment) to use the rating scale.

Suggested Citation

  • Debra Fanurik & Jeffrey L. Koh & R. Dale Harrison & Timothy M. Conrad & Caroline Tomerun, 1998. "Pain Assessment in Children with Cognitive Impairment," Clinical Nursing Research, , vol. 7(2), pages 103-119, May.
    • Handle: RePEc:sae:clnure:v:7:y:1998:i:2:p:103-119
    DOI: 10.1177/105477389800700202
    as

    Download full text from publisher

    File URL: https://journals.sagepub.com/doi/10.1177/105477389800700202
    Download Restriction: no
    File URL: https://libkey.io/10.1177/105477389800700202?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:sae:clnure:v:7:y:1998:i:2:p:103-119. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: SAGE Publications (email available below). General contact details of provider: .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.