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- Title
Why Unidimensional Pain Measurement Prevails in the Pediatric Acute Pain Context and What Multidimensional Self-Report Methods Can Offer.
- Authors
Jaaniste, Tiina; Noel, Melanie; Yee, Renee D.; Bang, Joseph; Tan, Aidan Christopher; Champion, G. David
- Abstract
Although pain is widely recognized to be a multidimensional experience and defined as such, unidimensional pain measurement focusing on pain intensity prevails in the pediatric acute pain context. Unidimensional assessments fail to provide a comprehensive picture of a child's pain experience and commonly do little to shape clinical interventions. The current review paper overviews the theoretical and empirical literature supporting the multidimensional nature of pediatric acute pain. Literature reporting concordance data for children's self-reported sensory, affective and evaluative pain scores in the acute pain context has been reviewed and supports the distinct nature of these dimensions. Multidimensional acute pain measurement holds particular promise for identifying predictive markers of chronicity and may provide the basis for tailoring clinical management. The current paper has described key reasons contributing to the widespread use of unidimensional, rather than multidimensional, acute pediatric pain assessment protocols. Implications for clinical practice, education and future research are considered.
- Subjects
PAIN measurement; PEDIATRIC diagnosis; ACUPUNCTURE for children; JUVENILE diseases; PAIN management
- Publication
Children, 2019, Vol 6, Issue 12, p1
- ISSN
2227-9067
- Publication type
Article
- DOI
10.3390/children6120132