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Related Experiment Videos

Measuring pain in neonates: evaluating an instrument and developing a common language

K Hodgkinson, M Bear, J Thorn

    The Australian Journal of Advanced Nursing : a Quarterly Publication of the Royal Australian Nursing Federation
    |September 1, 1994
    PubMed
    Summary

    Neonatal nurses developed the Pain Assessment Tool (PAT) to quantify infant pain after surgery. The pilot study confirmed PAT accurately measured pain, guiding comfort measures and analgesia for neonates.

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    Area of Science:

    • Neonatal care
    • Pain management
    • Pediatric nursing

    Background:

    • Assessing pain in neonates is challenging due to communication limitations.
    • Existing pain assessment methods may lack objectivity.
    • Neonatal nurses require reliable tools for accurate pain evaluation.

    Purpose of the Study:

    • To develop and evaluate the Pain Assessment Tool (PAT) for neonatal pain.
    • To compare PAT scores with nurses' subjective pain assessments.
    • To determine the clinical utility of PAT in guiding pain management interventions.

    Main Methods:

    • Development of the Pain Assessment Tool (PAT) by neonatal nurses.
    • Pilot study involving 20 neonates within 24 hours post-surgery.
    • Comparison of PAT scores with nurses' subjective pain ratings.

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  • Analysis of PAT scores to determine need for comfort measures and analgesia.

    • Main Results:

    • The PAT effectively quantified neonatal pain.
    • PAT scores correlated with nurses' perceptions of neonates' pain levels.
    • 15 neonates required nursing comfort measures based on PAT scores.
    • 8 neonates needed both comfort measures and analgesia.

    Conclusions:

    • The Pain Assessment Tool (PAT) is a valid and practical instrument for assessing neonatal pain.
    • PAT scores can guide clinical decision-making for pain management in neonates.
    • Further research and implementation of PAT are recommended for routine neonatal care.