Use of Picture Communication Aids to Assess Pain Location in Pediatric Postoperative Patients

Mesko, Phyllis J.; Eliades, Aris; Christ-Libertin, Cheryl; Shelestak, Debra

doi:10.1016/j.jopan.2011.09.006

Cited by 14 publications

(10 citation statements)

References 21 publications

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“…Some other positive trends, such as reduced pain before and after the procedure, were also seen but could not be proved significant. These results confirm the earlier positive reports of the use of pictorial supports [ 7 , 8 ]. The mechanisms behind these results are not yet fully known, and, in this study, it is impossible to separate the possible effects of staff education from the effects of having access to pictorial supports.…”

Section: Discussionsupporting

confidence: 92%

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Using Picture and Text Schedules to Inform Children: Effects on Distress and Pain during Needle-Related Procedures in Nitrous Oxide Sedation

Benjaminsson

Thunberg

Nilsson

2015

Pain Research and Treatment

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During hospital visits, children often undergo examinations and treatments that may involve an experience of pain and distress that is also connected to the staff's treatment. The United Nation's Convention on the Rights of Persons with Disability advocates the use of Universal Design. One way of implementing this idea within paediatric nursing is to increase the use of pictorial supports, and the few studies that have been published show promising results. The aim of this study was to do a comparison between two groups of children in regard to the pre- and postconditions of implementing an intervention including staff instruction and the use of pictorial support. The support consisted of a visual schedule with pictures and text, used both preparatory to and during the hospital visit. One hundred children aged 5–15 (50 children during the preinterventional data collection and 50 children postinterventionally) reported pain intensity and distress during needle-related procedures in nitrous oxide sedation. The results showed that the intervention had a positive effect in significantly lowering the level of preprocedural distress. The results showed that the pain intensity was also lowered however not reaching statistical significance. This confirms other positive research results on the use of visual supports within paediatric care, a topic that has to be further studied.

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Section: Discussionsupporting

confidence: 92%

“…This lack of knowledge might cause unnecessary suffering for a child [ 3 ]. The few studies that have been published point to good results [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Using Picture and Text Schedules to Inform Children: Effects on Distress and Pain during Needle-Related Procedures in Nitrous Oxide Sedation

Benjaminsson

Thunberg

Nilsson

2015

Pain Research and Treatment

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“…In the second study a picture board was provided as a means to answer questions of pain after surgery. The children's answers were more precise using AAC and the parents were very positive [19].…”

Section: Aac To Promote Accessibility In Health Care Situationsmentioning

confidence: 98%

Meeting the Communicative Rights of People with Autism — Using Pictorial Supports During Assessment, Intervention and Hospital Care

Thunberg¹,

Johansson²,

Wikholm³

2015

Autism Spectrum Disorder - Recent Advances

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The main purpose of this chapter is to describe how assessment, intervention and hospital visits more generally can be managed to meet the communicative rights of people with autism spectrum disorders and improve aspects of activity and participation. " working model, built upon the United Nations conventions on the Rights of the child [ ] and the Rights of persons with disability [ ], using the principle of universal design [ ] and augmentative and alternative communication ""C methods was developed within the project KomHIT-communication support in paediatric and dental care. "n evaluation of this model in the form of a focus group interview with a multiprofessional team at a neuropsychiatric clinic will also be presented alongside with the examples of the pictorial supports that were used. . Communication problems and communication rights in clinical settings . . Communication in children with Autism Spectrum Disorders ASDMajor advances have been made over the two past decades in understanding the socialcommunication difficulties of children with "SD, resulting in greater emphasis on early socialcommunication features in the diagnostic criteria. Most parents of children with autism first begin to be concerned that something is not quite right in their child's development because of early delays or regressions in the development of speech [ ]. Problems with communication, in terms of both understanding and expression, are often said to be one of the main causes of The convention is built on eight general principles, for example individual autonomy including the freedom to make one's own choices, full and effective participation and inclusion in society and accessibility, and respect for the evolving capacities of children with disabilities and respect for the right of children with disabilities to preserve their identities. "rticle postulates that health professionals are required to provide care of the same quality to persons with disabilities as to others and to take all appropriate measures to ensure access. "ccording to article this includes the freedom to seek, receive and impart information and ideas on an equal basis with others and through all forms of communication of their choice, including augmentative and alternative communication. Furthermore, the idea of "Universal design" is put forth, meaning that the design of products, environments, programmes and services should be usable by all people, to the greatest extent possible, without the need for adaptation or specialized design [ ]. . . Communication and communication problems in health care situationsPeople with disability often have many health contacts. "ccording to Mahon and Kibirige [ ] children with disability more frequently are in need of health care and are cared for longer than children without disabilities. Due to the communication difficulties being part of the autism spectrum visits to health care or hospital stays can be very problematic. Children with "SD are particularly stressed due to lack of structure and predictability [ ]. It...

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“…'. However, using an appropriate method to assess pain and other emotions, for example, anxiety, which make use of pictures can help ensure that children with communication problems are better understood (Mesko et al, 2011;Nilsson et al, 2012).…”

Section: The Importance Of Communication and Understanding Between Chmentioning

confidence: 99%

Strategies that assist children with communicative disability during hospital stay

Thunberg

Buchholz

Nilsson

2015

J Child Health Care

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There is a lack of research on the use of augmentative and alternative communication (AAC) in paediatric care, despite the fact that most children in need of AAC frequently need to visit hospitals and sometimes have to stay for long periods. The aim of this study was to investigate parents' experiences of the hospital visits with their children with communicative disabilities and to collect their ideas about how to optimize communication in this situation. Ten parents who had children with communicative disability took part in three focus group interviews. The analysis had a retrospective qualitative content theory. In the qualitative content analysis of the focus group interviews, 4 categories and 17 subcategories were identified. Overall, the results highlighted the importance of enabling direct communication between the child and the staff during the hospital stay. Parents of children with communication difficulties highlighted the importance of listening to their children and understanding their needs during hospital care and that hospital staff are in need of more knowledge in communicative disability and AAC to accomplish this. Training programmes for health-care professionals should be established to facilitate these requirements and connect to the United Nations conventions. Hospitals should provide and use AAC/communicative support.

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Use of Picture Communication Aids to Assess Pain Location in Pediatric Postoperative Patients

Cited by 14 publications

References 21 publications

Using Picture and Text Schedules to Inform Children: Effects on Distress and Pain during Needle-Related Procedures in Nitrous Oxide Sedation

Using Picture and Text Schedules to Inform Children: Effects on Distress and Pain during Needle-Related Procedures in Nitrous Oxide Sedation

Meeting the Communicative Rights of People with Autism — Using Pictorial Supports During Assessment, Intervention and Hospital Care

Strategies that assist children with communicative disability during hospital stay

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