20. Multidimensional Assessment
Self report/parent report
Intensity
Quality
Pattern
Aggravating / alleviating factors
Medication history
Meaning

21. Assessment Behavioral assessment Physiologic assessment Proxy report
Use of scales
Involve family
Never dismiss a child’s report of pain based on observed behavior
Physiologic assessment
Proxy report

22. Reassessment of Pain Changes in pain Changes in analgesic regimen
Assess consistently
Use of diaries

23. Neurologically Impaired
Assessment
Child may have limited self report
Parent interview
Pain behaviors
Interventions
Non-pharmacological
Pharmacological
References/Resources: Walco, Goldschneider, & Berde, 2008; Oberlander & Symons, 2006
Oberlander & Symons, 2006; Walco & Goldschneider, 2008

24. Neonatal Pain Assessment Tools
CRIES Neonatal Postoperative Pain Measurement Score Krechel & Bildner, 1995
Premature Infant Pain Profile (PIPP)
Stevens et al., 1996
Neonatal Infant Pain Scale (NIPS)
Lawrence et al., 1993
Neonatal Pain Agitation and Sedation Scale (NPASS) Hummel & Puchalski, 2001

25. Pain Assessment Tools Pre-verbal / nonverbal (examples) FLACC
Pain Observation Scale
Modified Objective Pain Score
Non Communicating Children's Pain Checklist (NCCPC)

26. Univariate Pain Intensity Scales
FACES, OUCHER
VAS (Visual Analog Scale)
Verbal Report Scale

27. Multivariate Tools Initial Pain Assessment Tool Brief Pain Inventory
Parent / Child Total Quality Pain Instruments
Neuropathy Pain Scale
Adolescent Pediatric Pain Tool

28. Communicating Assessment
Document clearly in chart
Assessment
Intervention
Re-assessment
Establish Pain Care Plans