Promoting Excellence : Detailed Pain Assessment

Name:
Children's Hospital: Detailed Pain Assessment

• Children Under 1 Year
• Children 1 to 4 Years of Age
• Children 5 to 7 Years of Age
• Children 8 Years of Age & Up
• Children Non-Verbal & Cognitively Impaired

Definition:
This tool records pain assessments, interventions, and outcomes for four age groups up to 18.

Category:
Clinical Care Tools - Pain Management

Source:
Children's Hospital and Regional Medical Center
Pediatric Palliative Care Project
Mail Stop CM - 11
4800 Sand Point Way, N.E.
Seattle, WA 98105
www.cshcn.org

Contact:
Beth McKinstry
bmckin@chmc.org

How the grantee used this instrument:
Self-administered by parent or guardian with in-person assistance from Consultant at the pre-enrollment home visit. Self-administered by parent and/or patient with assistance from agency case manager in-person on a prn basis. Parent and/or patient responds to telephone interview every three months.

Keywords:
pediatrics, pain assessment

To use this tool:
You may print and copy this tool for your own use from this site. We recommend that you consult the authors of the original references before using the tool.

References:

• Patients Aged <1. Sources: Buccholz et al. "Pain Scores in Infants: A Modified Infant Pain Scale vs. Visual Analog Scale." Pain & Symptom Management, 15(2) 1998:117-124. And McGrath et al., "A New Analogue Scale for Assessing Children's Pain: An Initial Validation study." Pain 64, 1998:435-443



• Patients Aged 1-4. Sources: Chambers et al. "Development and Preliminary Validation of a Post-operative Pain measure for Parents." Pain 68, 1996:307-313. And McGrath et al., 1998, cited above. Patients Aged 5-7. Sources: Chambers et al., 1996, and McGrath et al., 1998, cited above.



• Patients Aged 8 and above. Sources: Savedra et al., "Post-Operative Pain in Children and Adolescents: Assessing change over Time with Adolescent Pediatric Pain Tool (APPT)." Nursing Research, 1, 1993:5-9. and Chambers et al., 1996, cited above, and McGrath et al., 1998, cited above.



• Nonverbal and Cognitively impaired Children. Sources: McGrath et al., "Behaviors Caregivers Use to Determine Pain in Nonverbal, Cognitively Impaired Children." Developmental Medicine and Child Neurology, 40, 1998:340-343. And McGrath et al., 1998, cited above.

Information/References on Validity and Reliability:
Quantifies patient's pain intensity for four age groups up to age 18, and for cognitively impaired children, drawing on patient, provider, and parent reports.

To view this tool:
Left click on the download link to view the PDF document in your Web browser. Right-click on the download link to save the document to your computer.

• Children Under 1 Year - PDF 173 KB / 2 pages
• Children 1 to 4 Years of Age - PDF 157 KB / 1 page
• Children 5 to 7 Years of Age - PDF 270 KB / 3 pages
• Children 8 Years of Age & Up - PDF 193 KB / 2 pages
• Children Non-Verbal & Cognitively Impaired - PDF 156 KB / 1 page

(Viewing PDF files requires downloading and installation of the free Adobe Acrobat Reader.)

Posted September 2003

Children's Hospital and Regional Medical Center overview page