Background Pain is a common, important, but often neglected problem for cognitive impaired children. Objectives 1) To evaluate paediatricians' attitudes toward pain in children with severe cognitive impairment in the North East of Italy. 2) To compare the qualities of 3 observational pain scales, two of which are specific for children with cognitive impairment (the NCCPC-PV, the DESS) and one (the CHEOPS) is not. Methods 1) A phone interview regarding the current method used to evaluate pain in cognitive impaired children and the use of procedural sedation was performed in all the pediatric wards of North East of Italy. 2) Twenty patients with cognitive impairment were assessed for pain level using these tools by 2 external observers and by the caregiver. For all scales inter-rater reliability, dependence from knowledge of child's behavior, simplicity of use and correctness in rating of pain were measured. Results 1) Cognitive impaired children are almost never assessed for pain by means of the appropriate tools in the surveyed area. 2) The 2 specific pain scales showed a better consistency in discriminating pain, especially the NCCPC-PV resulted the most simple and independent form the knowledge of the child. Discussion It is necessary to develop a culture of attention to pain in non communicating children. The NCCPC-PV is an appropriate tool to be used in a clinical setting.
|Translated title of the contribution||Pain's evaluation in children with severe cognitive impairment|
|Number of pages||5|
|Publication status||Published - Jul 2011|
ASJC Scopus subject areas
- Pediatrics, Perinatology, and Child Health