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Multimodal pain assessment in preverbal children
Journal of hn
and Symptom
nagement
As a result of teohnalogioal advancements, direct monitoring of the pretxrm infant’s physiological status is possible during routine painful procedures. The purpose of this study was to determine Lf the phyaiologlcsl paraseters of heart rate (HRI, tranacutaneous oxygen (TcPO 1, and trood p;cssure (BP1 would increase or dscreasc dur 1ng the patnful, invasive procedure of a heelstick, Using a repeated measures design, 12 subjects were asalgned in random order to all of the following 3 treatments: a) aleahal wipe (control); b) alcohol wipe plus heclstlck; and c) in addition to 31, stroking of the contralateral leg with the All heelstlck procedures for each catton tipped sweb. o~~e~~d~ by Eor WR and
tervsls
1 post
*,hs saRle TcPOZ were
while BP data was line period and at Large interwsntlcn.
This paper will describe the development of 41behavioral assessment tool to 8ssoss pain experienced by the pteterm and the full term neonata rerceivinlj arterial, venous or eaoillary puntzrrras. The bohdriaurs and operational descriptsrs of the tool wore identified in a pmvious pilot study. Ninety needle punctures were vIdeotape& Behavioral responses of the infants were rated at one minute intervals; prior to, durinc end after the procedures !a~ a total of ten ratings. In order to establish inter-rat& reliability 20 randomly selected procedures were rargd by an independent observer. Pewxm correlations be:ween rater Scores across the Time periods were made. As wall pain scores ‘&are compared across the three procedure types and time pariods. Item analysis ~$8 carried out to determine which behaviours discrimineted. c’!le raletlonshfp batween type of oroeeduro and tima periods. and the impact ot gestational age and apQar scores was invasrigated Methodologicai issues relating to this type of research are presented. Discussion of the tool development process, implicationS of the findings of the study, and furthor Study of pain asSesSment in neonates will be included.
and Symptom
nagement
As a result of teohnalogioal advancements, direct monitoring of the pretxrm infant’s physiological status is possible during routine painful procedures. The purpose of this study was to determine Lf the phyaiologlcsl paraseters of heart rate (HRI, tranacutaneous oxygen (TcPO 1, and trood p;cssure (BP1 would increase or dscreasc dur 1ng the patnful, invasive procedure of a heelstick, Using a repeated measures design, 12 subjects were asalgned in random order to all of the following 3 treatments: a) aleahal wipe (control); b) alcohol wipe plus heclstlck; and c) in addition to 31, stroking of the contralateral leg with the All heelstlck procedures for each catton tipped sweb. o~~e~~d~ by Eor WR and
tervsls
1 post
*,hs saRle TcPOZ were
while BP data was line period and at Large interwsntlcn.
This paper will describe the development of 41behavioral assessment tool to 8ssoss pain experienced by the pteterm and the full term neonata rerceivinlj arterial, venous or eaoillary puntzrrras. The bohdriaurs and operational descriptsrs of the tool wore identified in a pmvious pilot study. Ninety needle punctures were vIdeotape& Behavioral responses of the infants were rated at one minute intervals; prior to, durinc end after the procedures !a~ a total of ten ratings. In order to establish inter-rat& reliability 20 randomly selected procedures were rargd by an independent observer. Pewxm correlations be:ween rater Scores across the Time periods were made. As wall pain scores ‘&are compared across the three procedure types and time pariods. Item analysis ~$8 carried out to determine which behaviours discrimineted. c’!le raletlonshfp batween type of oroeeduro and tima periods. and the impact ot gestational age and apQar scores was invasrigated Methodologicai issues relating to this type of research are presented. Discussion of the tool development process, implicationS of the findings of the study, and furthor Study of pain asSesSment in neonates will be included.