The pain of children with sickle cell disease: the nursing approach

ABSTRACT Objective: To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain. Method: This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews w...

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Bibliographic Details
Main Authors: Lívia Maria Nunes Campelo, Nayara Fernandes Oliveira, Juliana Macêdo Magalhães, Alcineide Mendes de Sousa Julião, Fernanda Cláudia Miranda Amorim, Magda Coeli Vitorino Sales Coelho
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000901381&lng=en&tlng=en
Description
Summary:ABSTRACT Objective: To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain. Method: This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis. Results: This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is difficult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor. Final considerations: The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have difficulties to assess it.
ISSN:1984-0446