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Perspectives on Cancer Pain Assessment and Management in Children
Elizabeth A Duffy1, Nancy Dias2, Verna Hendricks-Ferguson3
1University of Michigan School of Nursing, Ann Arbor, MI.
Insights
Assessing and managing cancer pain in children requires developmentally appropriate strategies. Pediatric oncology nurses are vital in implementing these pain management approaches for improved patient outcomes.
Area of Science:
- Pediatric Oncology
- Pain Management
- Adolescent Health
Background:
- Children and adolescents with cancer experience diverse pain types throughout their treatment journey.
- Effective pain management is crucial for improving quality of life during cancer therapy.
Purpose of the Study:
- To review evidence on pain assessment and management for pediatric cancer patients.
- To highlight the importance of age-appropriate strategies in pain care.
Main Methods:
- Systematic review of published research.
- Analysis of clinical guidelines related to pediatric cancer pain.
Main Results:
- Pain is a common issue for pediatric cancer patients across the continuum of care.
- Developmentally relevant approaches are essential for accurate pain assessment and effective management.
- Age and developmental stage significantly influence pain perception and response.
Conclusions:
- Tailoring pain assessment and management to the child's developmental stage is critical.
- Pediatric oncology nurses are central to implementing effective, developmentally appropriate pain interventions.
Objective:
To report evidence regarding pain assessment and management for children and adolescents receiving treatment for cancer.
Data Sources:
Published research and clinical guidelines.
Conclusion:
Children and adolescents experience multiple sources of pain across the cancer continuum. They require developmentally relevant approaches when assessing and managing pain. This review suggests that consideration of the developmental stage and age of the child are essential in both pain assessment and pain management.
Implications For Nursing Practice:
Pediatric oncology nurses play a key role in developmentally appropriate pain assessment, identification of potential strategies to manage pain, and delivery of pharmacologic and nonpharmacologic therapies.
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