Retrospective case report: evaluation of pain in a child with pervasive developmental disorder

Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association
Ana C MieresSheila K Nicholson


To describe how a nurse and a physical therapist in an interprofessional (IP) school-based clinic collaborated to meet the needs of a child with pervasive developmental disorder-not otherwise specified, with atypical classroom behaviors and declining student performance. The IP team sought answers for atypical classroom behaviors with declining student performance. Student sensory perceptions masked and delayed the ability to recognize infection. Cumulative observations by the team generated serial referrals until a diagnosis of dental abscess was identified. An IP team in this school setting generated a positive outcome for a student demonstrating absence of clear indicators of pain or infection, with additional positive outcomes for the clinic. Further studies are needed to recognize illness earlier in the absence of pain or pain perception in children with a form of autism spectrum disorder and to develop reliable and valid metrics for pain identification.


Aug 5, 2000·Human Factors·N J CookeR J Stout
Dec 4, 2001·Journal of Healthcare Risk Management : the Journal of the American Society for Healthcare Risk Management·J BarrettM Salisbury
Feb 11, 2004·The Clinical Journal of Pain·Rami NaderKenneth D Craig
Sep 9, 2006·Pain Research & Management : the Journal of the Canadian Pain Society = Journal De La Société Canadienne Pour Le Traitement De La Douleur·Carl L von Baeyer
Feb 17, 2007·Paediatric and Perinatal Epidemiology·Catherine E RiceUNKNOWN ADDM Network
Apr 7, 2007·Journal of Autism and Developmental Disorders·Carissa CascioGregory Essick
Dec 28, 2007·Journal of Autism and Developmental Disorders·Rosemary L MessmerKenneth D Craig

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Jun 13, 2015·Case Reports in Psychiatry·Ciaran Clarke
Apr 24, 2016·Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses·Brenna L Quinn
Mar 8, 2016·Annals of General Psychiatry·Yuka YasudaMasatoshi Takeda

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