Hunt, Anne, Mastroyannopo, Kiki, Goldman, Ann and Seers, Kate (2003) Not knowing--the problem of pain in children with severe neurological impairment. International Journal of Nursing Studies, 40 (2). pp. 171-183. ISSN 0020-7489
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Official URL: http://dx.doi.org/10.1016/S0020-7489(02)00058-5
This study uses a grounded theory approach to explore the diagnostic and clinical decision-making processes used by parents and healthcare professionals in relation to pain in children with severe to profound neurological impairment. Three forms of knowledge are required for optimal pain assessment and management (1) knowing the child, (2) familiarity with children with the same or similar conditions and (3) knowing the science. Pain relief can be compromised by systems of care that fragment rather than integrate care. A model which integrates knowledge of child, population and science is proposed together with an intersubjective attitude to assessing pain.
|Uncontrolled Keywords (separate with ;):||Decision-making; Non-verbal communication; Pain assessment; Paediatric palliative care; Sociology of knowledge|
|Subjects:||R Medicine > RJ Pediatrics|
R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
R Medicine > RT Nursing
|Schools:||College of Health and Wellbeing > School of Health Sciences|
|Deposited By:||EPrints Services|
|Deposited On:||03 Feb 2010 15:20|
|Last Modified:||20 Nov 2012 16:47|
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