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Using Pictures to Assess Pain Location in Children
Insights
Pediatric patients effectively used the Pain Area Locator (PAL) tool to identify postoperative pain. The PAL tool revealed pain locations missed by nurses in 83% of assessments.
Area of Science:
- Pediatric Nursing
- Pain Management
- Patient Communication Tools
Background:
- Accurate pain assessment in pediatric postoperative patients is crucial for effective management.
- Traditional methods may not always capture the precise location of pain in children.
- The Pain Area Locator (PAL) tool offers a visual aid for pain identification.
Purpose of the Study:
- To evaluate the utility of the Pain Area Locator (PAL) tool for identifying pain location in postoperative pediatric patients.
- To compare pain location assessments between nurses and the PAL tool.
- To assess discrepancies in pain site identification.
Main Methods:
- A descriptive, quantitative, comparative study design was employed.
- A convenience sample of 41 pediatric postoperative patients undergoing same-day surgery was recruited.
- Children used the PAL tool, pointing to identified pain locations on visual aids.
Main Results:
- All 41 pediatric patients successfully utilized the PAL tool.
- The PAL tool identified a pain location in 83% of assessments where nurses had documented no pain.
- Significant discrepancies were observed between nurse assessments and patient-identified pain locations.
Conclusions:
- Children can effectively use the PAL tool to communicate their postoperative pain location.
- The PAL tool enhances the accuracy of pain assessment in pediatric patients.
- Findings support the integration of the PAL tool into routine postoperative care for children.
Purpose:
This study uses the Pain Area Locator (PAL) tool, a picture communication aid with body and medical equipment icons, to identify pain location in postoperative pediatric patients and assesses discrepancies between nurses' pain location assessment and pain location identified using the PAL tool.
Design:
This descriptive study used a quantitative, comparative design, with a convenience sample of pediatric postoperative patients undergoing same-day surgeries at a free-standing, acute care, Magnet designated pediatric hospital.
Methods:
The child's pain location was assessed by asking the child to point to one of the 12 pictures on the PAL tool of where they hurt.
Findings:
All 41 (100%) of the postoperative children in the study demonstrated ability to use the PAL tool. The child identified a pain location in 34 assessments (83%) when the nurse documented no pain location.
Conclusions:
This investigation expands on previous evidence supporting that children can use the PAL tool to identify the pain location postoperatively.
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