Oncology nursing forum
-
Oncology nursing forum · Apr 1999
Pain and distress in adults and children undergoing peripheral blood stem cell or bone marrow transplant.
To examine the pattern of self-report of pain, opioids received, and nurses' assessments of pain, somatic distress, mood/behavior, cooperation/compliance, and activity in adults and children undergoing stem cell or bone marrow transplant. ⋯ Administering opioid therapy by continuous infusion with titration or bolus doses as needed was effective in managing pain in transplant recipients. Nurses should be prepared to give children more opioids/kg than adults receive to maintain a comparable level of comfort. Self-reported pain level should not be expected to correlate with level of patient cooperation/compliance with care.