The challenge of pain assessment in children with cognitive disabilities: Features and clinical applicability of different observational tools

Marco Cascella, Sabrina Bimonte, Francesco Saettini, Maria Rosaria Muzio

Research output: Contribution to journalReview articlepeer-review

Abstract

Children with cognitive disabilities are at greater risk of experiencing pain. It has been shown that this paediatric population often receive inadequate pain management. Pain may be very difficult to assess, especially in a defined subgroup with non-communicating intellectual disability or severe cognitive disability. Accordingly, several observational pain assessment tools have been proposed to overcome this issue. Due to the absence of an ideal measurement tool, accurate pain assessment requires, after a case-by-case analysis, selecting the more appropriate tool or a variety of combined instruments. The aim of this work is to provide a comprehensive review of the pain assessment tools commonly used in cognitively impaired children. Critical discussion on features and clinical applicability may suggest how to overcome this difficult challenge. Furthermore, this review will help further research aiming to design new instruments and to improve already-in-use tools.

Original languageEnglish
Pages (from-to)129-135
Number of pages7
JournalJournal of Paediatrics and Child Health
Volume55
Issue number2
DOIs
Publication statusPublished - Feb 2019

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