2.50
Hdl Handle:
http://hdl.handle.net/10755/155808
Type:
Presentation
Title:
Children with Leukemia: Pain, Management and Outcomes
Abstract:
Children with Leukemia: Pain, Management and Outcomes
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Bossert, Elizabeth, DNS/DNSc/DSN
P.I. Institution Name:Loma Linda University
Title:Professor
Co-Authors:Marilyn Savedra, Lois Van Cleve
Objective: To examine the pain experience during the first year following diagnosis of leukemia, the strategies used to manage pain and their effectiveness.<P> Design: Descriptive, longitudinal.<P> Sample/Setting: Participants were 102 children, ages 8-17, English or Spanish speaking, receiving care in 1 of 3 California pediatric oncology centers.<P> Variables Studied: pain intensity, location, pattern, quality, management strategies, perception of management effectiveness, and functional status.<P> Methods: Children and parents were interviewed 7 times during the year following diagnosis using age appropriate instruments.<P> Findings: Pain intensity scores spanned the range of possible responses. For ages 4-7 (scale 0-4) the highest mean score was 2.0 and the lowest 1.6. For ages to 8-17 (scale 0-100) the highest mean score was 50.1 and the lowest 39.5. The most frequent locations of pain were the legs (26.5%), abdomen (16.6%), head/neck (16.6%), and back (14.2%). The words used most frequently to describe pain were "uncomfortable" / "incomodo" and "annoying" / "molesto". The strategy most frequently cited in the interviews for management was stressor modification (e.g. medication, hot/cold, and massage). The most frequently selected coping strategies from a list were: "watch TV", lie down", and "wish for it to go away". Pain intensity scores following management were significantly lower for the younger children in 5 of the 7 interviews (p=. 05 to .01) and in all 7 interviews (p=.01 to .001) for the older children. Functional status was above the median score for all seven interviews. <P> Conclusions: Children with leukemia experience pain throughout the first year of treatment and can provide a multidimensional description of it. The pain was responsive to the management strategies used by the parents and children. Functional status remained acceptable. <P> Implications: By understanding the pain experience, effectiveness of management strategies, and subsequent outcomes clinicians can anticipate and plan effective pain management.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleChildren with Leukemia: Pain, Management and Outcomesen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155808-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Children with Leukemia: Pain, Management and Outcomes</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Bossert, Elizabeth, DNS/DNSc/DSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Loma Linda University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">bbossert@sn.llu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Marilyn Savedra, Lois Van Cleve</td></tr><tr><td colspan="2" class="item-abstract">Objective: To examine the pain experience during the first year following diagnosis of leukemia, the strategies used to manage pain and their effectiveness.&lt;P&gt; Design: Descriptive, longitudinal.&lt;P&gt; Sample/Setting: Participants were 102 children, ages 8-17, English or Spanish speaking, receiving care in 1 of 3 California pediatric oncology centers.&lt;P&gt; Variables Studied: pain intensity, location, pattern, quality, management strategies, perception of management effectiveness, and functional status.&lt;P&gt; Methods: Children and parents were interviewed 7 times during the year following diagnosis using age appropriate instruments.&lt;P&gt; Findings: Pain intensity scores spanned the range of possible responses. For ages 4-7 (scale 0-4) the highest mean score was 2.0 and the lowest 1.6. For ages to 8-17 (scale 0-100) the highest mean score was 50.1 and the lowest 39.5. The most frequent locations of pain were the legs (26.5%), abdomen (16.6%), head/neck (16.6%), and back (14.2%). The words used most frequently to describe pain were &quot;uncomfortable&quot; / &quot;incomodo&quot; and &quot;annoying&quot; / &quot;molesto&quot;. The strategy most frequently cited in the interviews for management was stressor modification (e.g. medication, hot/cold, and massage). The most frequently selected coping strategies from a list were: &quot;watch TV&quot;, lie down&quot;, and &quot;wish for it to go away&quot;. Pain intensity scores following management were significantly lower for the younger children in 5 of the 7 interviews (p=. 05 to .01) and in all 7 interviews (p=.01 to .001) for the older children. Functional status was above the median score for all seven interviews. &lt;P&gt; Conclusions: Children with leukemia experience pain throughout the first year of treatment and can provide a multidimensional description of it. The pain was responsive to the management strategies used by the parents and children. Functional status remained acceptable. &lt;P&gt; Implications: By understanding the pain experience, effectiveness of management strategies, and subsequent outcomes clinicians can anticipate and plan effective pain management.</td></tr></table>en_GB
dc.date.available2011-10-26T14:11:37Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T14:11:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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