Pain in Children With Central Nervous System Cancer: A Review of the Literature

Shepherd, Erin; Woodgate, Roberta L.; Sawatzky, Jo-Ann V.

doi:10.1188/10.onf.e318-e330

Cited by 13 publications

(29 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Pain is a common and disturbing symptom of adolescent cancer, occurring in 49–95% of adolescent patients . This pain is often moderate to severe in intensity, negatively impacts health‐related quality of life (HRQL), impedes disease recovery, contributes to distress, and results in long‐term morbidity . Pain also may represent a significant cost burden to families and the healthcare system and is a major reason for cancer‐related emergency service use in adults .…”

Section: Introductionmentioning

confidence: 99%

Implementation and preliminary effectiveness of a real‐time pain management smartphone app for adolescents with cancer: A multicenter pilot clinical study

Jibb

Stevens

Nathan

et al. 2017

Pediatric Blood & Cancer

134

170

View full text Add to dashboard Cite

show abstract

Section: Introductionmentioning

confidence: 99%

Implementation and preliminary effectiveness of a real‐time pain management smartphone app for adolescents with cancer: A multicenter pilot clinical study

Jibb

Stevens

Nathan

et al. 2017

Pediatric Blood & Cancer

134

170

View full text Add to dashboard Cite

show abstract

“…It is estimated that 49%-62% of adolescents with cancer will experience pain related to the disease and/or associated invasive procedures and treatments [1-3]. Pain negatively affects an adolescent’s quality of life [3-5], impedes cancer recovery [6], results in adolescent and family distress [7-10], and is associated with long-term morbidity [11,12]. Pain related to cancer also represents a significant cost burden to the health care system and families [13], with pain being the most common reason for cancer patients to utilize emergency health services [14-16].…”

Section: Introductionmentioning

confidence: 99%

A Smartphone-Based Pain Management App for Adolescents With Cancer: Establishing System Requirements and a Pain Care Algorithm Based on Literature Review, Interviews, and Consensus

Jibb¹,

Stevens²,

Nathan³

et al. 2014

JMIR Res Protoc

View full text Add to dashboard Cite

BackgroundPain that occurs both within and outside of the hospital setting is a common and distressing problem for adolescents with cancer. The use of smartphone technology may facilitate rapid, in-the-moment pain support for this population. To ensure the best possible pain management advice is given, evidence-based and expert-vetted care algorithms and system design features, which are designed using user-centered methods, are required.ObjectiveTo develop the decision algorithm and system requirements that will inform the pain management advice provided by a real-time smartphone-based pain management app for adolescents with cancer.MethodsA systematic approach to algorithm development and system design was utilized. Initially, a comprehensive literature review was undertaken to understand the current body of knowledge pertaining to pediatric cancer pain management. A user-centered approach to development was used as the results of the review were disseminated to 15 international experts (clinicians, scientists, and a consumer) in pediatric pain, pediatric oncology and mHealth design, who participated in a 2-day consensus conference. This conference used nominal group technique to develop consensus on important pain inputs, pain management advice, and system design requirements. Using data generated at the conference, a prototype algorithm was developed. Iterative qualitative testing was conducted with adolescents with cancer, as well as pediatric oncology and pain health care providers to vet and refine the developed algorithm and system requirements for the real-time smartphone app.ResultsThe systematic literature review established the current state of research related to nonpharmacological pediatric cancer pain management. The 2-day consensus conference established which clinically important pain inputs by adolescents would require action (pain management advice) from the app, the appropriate advice the app should provide to adolescents in pain, and the functional requirements of the app. These results were used to build a detailed prototype algorithm capable of providing adolescents with pain management support based on their individual pain. Analysis of qualitative interviews with 9 multidisciplinary health care professionals and 10 adolescents resulted in 4 themes that helped to adapt the algorithm and requirements to the needs of adolescents. Specifically, themes were overall endorsement of the system, the need for a clinical expert, the need to individualize the system, and changes to the algorithm to improve potential clinical effectiveness.ConclusionsThis study used a phased and user-centered approach to develop a pain management algorithm for adolescents with cancer and the system requirements of an associated app. The smartphone software is currently being created and subsequent work will focus on the usability, feasibility, and effectiveness testing of the app for adolescents with cancer pain.

show abstract

“…Thus, the collaboration among healthcare professionals is necessary to promote high-level care for children with chronic cancer pain, and also to provide adequate health education for cancer patients with chronic pain. 14,25 From this work perspective, the psychologist emerged as a professional who embraces and helps the child to symbolize their chronic cancer pain, through the meanings attributed to their painful experience. The pharmacist is involved in the management of chronic cancer pain, while offering pharmacological support to the nursing staff as well as to the medical staff.…”

Section: Discussionmentioning

confidence: 99%

Estratégias De Ação E Interação Para O Cuidado À Criança Hospitalizada Com Dor Oncológica Crônica

Silva¹,

Leite²,

Stinson

et al. 2018

Texto contexto - enferm.

View full text Add to dashboard Cite

RESUMO Objetivo: discutir, a partir do referencial da complexidade, as estratégias de ação e interação adotadas pelos profissionais de saúde para o cuidado à criança hospitalizada com dor oncológica crônica. Método: pesquisa de abordagem qualitativa, realizada com base no referencial metodológico da Teoria Fundamentada nos Dados e no referencial teórico do Pensamento Complexo, na perspectiva de Edgar Morin. A entrevista semiestruturada e a observação não participante foram utilizadas para a coleta de dados. Participaram da pesquisa 21 profissionais de saúde, os quais foram organizados em três grupos amostrais: enfermeiros; técnicos de enfermagem; e profissionais da equipe multiprofissional de saúde. Os resultados da pesquisa foram validados por cinco examinadores, dos quais três apresentam expertise no método de pesquisa. Resultados: a categoria “Lidando com a complexidade do contexto gerencial de cuidado à criança com dor oncológica crônica”, por meio de suas subcategorias, revelou que os profissionais de saúde utilizam o lúdico, o diálogo, a empatia, a relação afetiva e o trabalho em equipe como estratégias de interação para cuidar da criança e do familiar. Ademais, os resultados apresentam a busca da espiritualidade e do equilíbrio emocional como estratégias de ação necessárias para lidar com o sofrimento infantil e familiar. Conclusão: os resultados revelam a necessidade de os profissionais de saúde estabelecerem estratégias de ação que melhorem a sua interação com a criança e com o familiar, posto que uma efetiva interação facilita o processo de avaliação e manejo da dor, bem como viabiliza a continuidade e a qualidade do cuidado prestado.

show abstract

Pain in Children With Central Nervous System Cancer: A Review of the Literature

Abstract: Nurses play a vital role in pain assessment and management for children with cancer. The HRTI model can be used to identify areas of clinical practice, education, and research that require further improvements in relation to pain in children with CNS cancer.

Cited by 13 publications

References 36 publications

Implementation and preliminary effectiveness of a real‐time pain management smartphone app for adolescents with cancer: A multicenter pilot clinical study

Implementation and preliminary effectiveness of a real‐time pain management smartphone app for adolescents with cancer: A multicenter pilot clinical study

A Smartphone-Based Pain Management App for Adolescents With Cancer: Establishing System Requirements and a Pain Care Algorithm Based on Literature Review, Interviews, and Consensus

Estratégias De Ação E Interação Para O Cuidado À Criança Hospitalizada Com Dor Oncológica Crônica

Contact Info

Product

Resources

About