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Measuring Pain in Pediatric Oncology ICU Patients

Department of Nursing, St Jude Children's Research Hospital, 332 N Lauderdale St, Memphis, TN 38105

Linda Oakes, RN, MSN, CCRN

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Pamela S. Hinds, RN, PhD, CS

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Lori Sanders, RN, BSN

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Robin Holden, RN, BSN

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Sharon Williams, RN

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Diane Fairclough, DrPH

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Paula Bozeman, MD

Departments of Nursing and Biostatistics and the Intensive Care Unit, St Jude Chifdren's Research Hospital, 332 N Lauderdale St, Memphis, TN.

Thirty patients (ages 5 to 13) hospitalized In a pediatric oncology intensive care unit (ICU) rated the presence and severity of their pain on the Faces Pain Scale (FPS) and the Poker Chip Tool (PCT). Parents independently rated the child's pain on these scales and each patient's nurse completed the Objective Pain Scale (OPS). Patients' ratings on the FPS correlated significantly with parents' ratings on this scale ( = .48, P = .002) but not on the PCT ( = .23, P = .16). Nurses' ratings on the OPS were moderately correlated with patients' FPS ratings ( = .37, P = .02) but were only weakly associated with PCT ratings ( = .27, P = .09). The majority of patients, parents, and nurses eacpressed a preference for the FPS over the PCT. The FPS appears to be a clinically useful and accurate approach for measuring the pain of pediatric oncology patients in an ICU but is limited to those who can participate in a self-report measurement. © 1994 by Association of Pediatric Oncology Nurses.

Journal of Pediatric Oncology Nursing, Vol. 11, No. 2, 64-68 (1994)
DOI: 10.1177/104345429401100205


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