Journal of pediatric nursing
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Constructive, therapeutic play is an essential part of the care of children with long-term hospitalizations. The O'Connor theoretical framework supports the importance of play in ensuring the emotional, developmental, and physical health of children. ⋯ This article describes a successful play therapy program in a Bone Marrow Transplant Unit, using a play cabinet designed to provide readily available, sterilized toys that are appropriate for each of four age groups. Two cases are presented that show the efficacy of the use of the play cabinet in play therapy programs.
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Reliability and validity of the Faces and Word Descriptor Scales to measure pain in verbal children undergoing painful procedures were assessed. Test-retest reliability and construct and discriminant validity were supported for both instruments among a sample of 118 children in three age groups (3-7, 8-12, 13-18). ⋯ A majority of the children preferred to use the Faces scale when providing self-report of pain regardless of age. The Faces and Word Descriptor Scales are valid and reliable instruments to measure procedural pain intensity.
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A qualitative grounded theory method was used to examine hospitalized children's experiences of acute pain. Understanding the children's pain experiences included identifying children's responses, factors influencing children's responses, and the meanings children associated with their pain experiences. A sample of 11 surgical pediatric patients, 2-1/2 to 6-1/2 years of age, participated. ⋯ Data analysis was based on the constant comparative method. Findings revealed that the pain experience determined how the overall hospitalization was experienced by the children. "Getting better" was identified as the basic psychosocial process children used to deal with the pain. A beginning model of the young child's pain experience was developed and is presented here.
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The purpose of this study was to describe the experience of pain in infants and children in response to venipuncture and intravenous cannulation. Data on physiological, behavioral, and subjective responses were collected from 90 infants and children, in subgroups of 1 to 12 months, 1 to 3 years, 4 to 6 years, and 7 to 12 years. Changes in behavior were significant in all four groups, although the toddler group was the only group that showed a significant physiological change. The subjective measures showed that the children were able to identify their pain sites and intensity.
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The Oucher and the Poker Chip Tool are two of the most widely used instruments designed to measure children's self-report of pain intensity. Most of the studies dealing with the Oucher and the Poker Chip Tool use North American children as subjects. To establish the versatility of the instruments in patients of various cultural backgrounds and with different types of pain, this study used the Oucher and the Poker Chip Tool with 100 Danish children, age 3 to 15 years, after tonsillectomy. ⋯ Although the Poker Chip Tool only provides five discrete levels of pain, the strong positive relationships between the pain scores derived from the Oucher and the Poker Chip Tool (r = 0.71-0.79, p < .001) indicate its utility in clinical practice. The Oucher uses actual pictures of a child and therefore demonstrates ethnicity directly. The results of this study suggest that Danish children as well as American children are able to use the Oucher as a method to self-report pain intensity.