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Pain Assessment and Management in Pediatric Trauma.

Record Type:	Language materials, manuscript : Monograph/item
Title/Author:	Pain Assessment and Management in Pediatric Trauma./
Author:	Coburn, Geraldine Frances.
Description:	1 online resource (387 pages)
Notes:	Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
Subject:	Nursing. -
Online resource:	click for full text (PQDT)
ISBN:	9780355536423

Pain Assessment and Management in Pediatric Trauma.
Coburn, Geraldine Frances.

Pain Assessment and Management in Pediatric Trauma. - 1 online resource (387 pages)

Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.

Thesis (Ph.D.)--University of Toronto (Canada), 2017.

Includes bibliographical references

Background/Rationale: Trauma is the leading cause of death in children over one year of age; however, research on pain assessment and management in pediatric trauma patients is scarce.

Electronic reproduction.
Ann Arbor, Mich. :
ProQuest,
2018

Mode of access: World Wide Web

ISBN: 9780355536423Subjects--Topical Terms:

563081
Nursing.
Index Terms--Genre/Form:

554714
Electronic books.

Pain Assessment and Management in Pediatric Trauma.
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100 1 $a Coburn, Geraldine Frances. $3 1187533
245 1 0 $a Pain Assessment and Management in Pediatric Trauma.
264 0 $c 2017
300 $a 1 online resource (387 pages)
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500 $a Source: Dissertation Abstracts International, Volume: 79-03(E), Section: B.
500 $a Adviser: Bonnie J. Stevens.
502 $a Thesis (Ph.D.)--University of Toronto (Canada), 2017.
504 $a Includes bibliographical references
520 $a Background/Rationale: Trauma is the leading cause of death in children over one year of age; however, research on pain assessment and management in pediatric trauma patients is scarce.
520 $a Objective: The aim was to determine (a) the nature and frequency of pain assessment and management practices and (b) the pain perceptions of children who have undergone a trauma and the health care professionals who provide care to them. Tenets of Critical Realism, the Gate Control Theory of pain, and developmental theory were used to examine the data.
520 $a Methods: A two-phased mixed methods study was conducted at a regional pediatric trauma centre. In Phase 1, pain assessment and management practices including time to administration of first analgesia (and the child and situation factors that affect them) were recorded from a retrospective chart review of pediatric trauma patients over a one-year period. Descriptive and multivariable analyses were conducted.
520 $a In Phase 2, perceptions of pain management in the Emergency Department from children and health care professionals were examined through interviews. Constant comparative analysis was conducted to develop themes. Findings from Phase 1 and 2 results were triangulated.
520 $a Results: In Phase 1, 90/ 104 (86.5%) pediatric trauma patients had a pain assessment recorded; 60 (67%) via narrative notation and 30 (33%) with a validated pain tool. Opioid analgesia, were administered to 76/104 (73%) patients. Median (IQR) time from the traumatic event to administration of the first opioid analgesia was 99 (77--180) minutes.
520 $a In Phase 2, nine children revealed their perceptions of the pain and trauma experience. Thirteen health care professionals discussed the priority of pain treatment compared to physiological stability with no standardized approach to pain treatment.
520 $a Conclusion: Pain assessment and management for pediatric trauma patient in the Emergency Department is suboptimal. Implications for clinical practice and research targeting interventions to improve the status of pain assessment and management are suggested.
533 $a Electronic reproduction. $b Ann Arbor, Mich. : $c ProQuest, $d 2018
538 $a Mode of access: World Wide Web
650 4 $a Nursing. $3 563081
650 4 $a Health care management. $3 1148454
650 4 $a Health sciences. $3 1179212
655 7 $a Electronic books. $2 local $3 554714
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710 2 $a ProQuest Information and Learning Co. $3 1178819
710 2 $a University of Toronto (Canada). $b Nursing Science. $3 1181499
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=10637070 $z click for full text (PQDT)