Family exemplars during implementation of a home pain management intervention

Issues in Comprehensive Pediatric Nursing
Shirley A Wiggins

Abstract

Postoperative pain and symptom management at home following pediatric tonsillectomy and adenoidectomy (T & A) is challenging. There are few randomized clinical trials that have established postoperative care interventions that are specific and effective during home recovery. The purpose of this pilot feasibility study was to describe how children and their families implemented a randomly assigned alarm intervention designed to promote postoperative around-the-clock administration of analgesics. Thirteen children from 12 through 18 years of age were randomly assigned to either the around-the-clock (RTC) intervention group (n = 7) or the usual care group (UCG) of controls (n = 6). The RTC intervention group was requested to use an alarm as a reminder to awaken and administer analgesia during the nighttime hours of sleep. Children randomly assigned to the UCG of controls were given the same discharge education as the RTC intervention group that emphasized around-the-clock administration of analgesia. The UCG of controls were not requested to use the alarm intervention. Both groups documented pain intensity and other symptoms daily for 3 days in a diary. All children wore an actigraphy-score wrist monitor to assess sleep during the...Continue Reading

References

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Citations

Mar 20, 2012·Sleep Medicine Reviews·Lisa J MeltzerColleen M Walsh
Sep 29, 2011·Journal for Specialists in Pediatric Nursing : JSPN·Kimberly A SuttersChristine Miaskowski
Jan 8, 2014·Journal for Specialists in Pediatric Nursing : JSPN·Dekeisha HowardElizabeth Ely
Jan 25, 2014·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Alison M TwycrossRobin Sunderland
Mar 5, 2015·Journal of Pediatric Oncology Nursing : Official Journal of the Association of Pediatric Oncology Nurses·Alison TwycrossFaith Gibson
Nov 21, 2014·The Cochrane Database of Systematic Reviews·Robby NieuwlaatR Brian Haynes

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