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CCEENNLLEE Pediatric Palliative Care
Multidimensional Assessment
Self report/parent report Intensity Quality Pattern Aggravating / alleviating factors Medication history Meaning
CCEENNLLEE Pediatric Palliative Care
Assessment
Behavioral assessment Use of scales Involve family Never dismiss a child’s report of pain
based on observed behavior Physiologic assessment Proxy report
CCEENNLLEE Pediatric Palliative Care
Reassessment of Pain
Changes in pain
Changes in analgesic regimen
Assess consistently
Use of diaries
CCEENNLLEE Pediatric Palliative Care
Neurologically Impaired
Assessment Child may have limited self report Parent interview Pain behaviors Interventions
Non-pharmacological Pharmacological
Oberlander & Symons, 2006; Walco & Goldschneider, 2008
CCEENNLLEE Pediatric Palliative Care
Neonatal PainAssessment Tools
CRIES Neonatal Postoperative Pain Measurement Score Krechel & Bildner, 1995
Premature Infant Pain Profile (PIPP) Stevens et al., 1996
Neonatal Infant Pain Scale (NIPS)Lawrence et al., 1993
Neonatal Pain Agitation and Sedation Scale (NPASS) Hummel & Puchalski, 2001
CCEENNLLEE Pediatric Palliative Care
Pain Assessment Tools
Pre-verbal / nonverbal (examples) FLACC Pain Observation Scale Modified Objective Pain Score Non Communicating Children's Pain
Checklist (NCCPC)
CCEENNLLEE Pediatric Palliative Care
Univariate Pain Intensity Scales
FACES, OUCHER
VAS (Visual Analog Scale)
Verbal Report Scale
CCEENNLLEE Pediatric Palliative Care
Multivariate Tools
Initial Pain Assessment Tool Brief Pain Inventory Parent / Child Total Quality Pain
Instruments Neuropathy Pain Scale Adolescent Pediatric Pain Tool
CCEENNLLEE Pediatric Palliative Care
Communicating Assessment
Document clearly in chart Assessment Intervention Re-assessment
Establish Pain Care Plans
