Assessment of Children's Pain in Oncology Unit

Sajid Majeed Hameed, Dr.; Raja Hadi Abbas, Dr.; Ali,; Eqbal Gh, Dr.

	Assessment of Children's Pain in Oncology Unit
MUSTANSIRIA DENTAL JOURNAL
Article 1, Volume 8, Issue 3, 2011, Pages 269-273
Authors
Dr. Sajid Majeed Hameed; Dr. Raja Hadi Abbas; ; Dr. Eqbal Gh
Abstract
Most children with cancer will be at risk for significant pain at some time during the course of their illness. Pain may be a product of the disease itself or the result of medical intervention in the form of diagnostic procedures, surgery, and chemotherapy, or radiation therapy. An adequate standard of care requires that the clinician systematically assess and effectively manage pain on a routine basis for all children with cancer. Aim of the study was to :- a) Assess pain with invasive monitoring procedures (pre & post procedure): - vein puncture, lumber puncture & bone marrow aspiration & biopsy. - b) Assess Current symptoms pre receiving of chemotherapy, - c) Assess Intensity pain with like methods of chemotherapy, d) Assess Family & child's pain experience within the period of treatment A total of 50 patients age between (6 – 12 years) in oncology unit in central child teaching hospital & children teaching hospital in medical city, from 25th of January to 25th of April 2009. Using questionnaires which has 3 parts, part one – demographic characteristics Part two – assessment pain with monitoring procedures, current symptoms pre receiving of chemotherapy, intensity of pain with methods receiving of chemotherapy. Part three – family & Childs experience pain with use facial expression with poker chips color Results were analyzed by descriptive statistical including (frequency, percentage, mean of score). Results showed that (50%) of patients were age 6-8 years & diagnosed leukemia, 60% males & number of chemotherapy less than 6th courses, (72%) duration of diseases less than 6th months, 56% number admissions to hospital with out chemotherapy were 3-7 time. Vein Puncture (60%) of sample feeling no pain pre procedure, (80%) feeling some pain bother post procedure Lumber Puncture (50%) of sample feeling pain that does not bother pre procedure, (80%) feeling sever pain post procedure Bone Marrow Aspiration (60%) of sample feeling some pain bother pre procedure, (100%) feeling unbearable pain post procedure. (40%) fear Pre receiving chemotherapy. (60%) methods receiving of chemotherapy both intravenously & intrathecaly, intravenously methods pain is most hurt while intrathecaly methods pain is the most hurt could ever have. Family experience toward assess pain tool, them showed these easily. Child experience with pain (60%) use word discomfort or no communication when feel pain In conclusions the study revealed the pain more than in post monitoring procedure specific in lumber puncture & high level in bone marrow aspiration, fear is the most symptoms syndrome for patients pre receiving of chemotherapy, intravenously methods most methods pain for patient. Most families the tool painshowed easily & easily transport & more children use words to expression pain & no communication.
Keywords
KEYWORDS; pain; Pain with Cancer; Assess child pain; Pain UnderTreatment Chemotherapy

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