Children's Expectations of Pain, Perceptions of Analgesic Efficacy, and Experiences With Nonpharmacologic Pain Management Strategies at Home Following Tonsillectomy

Authors


  • Kimberly A. Sutters, RN, PhD, is a Clinical Nurse Specialist for Surgical Services and Pain Management, Children's Hospital Central California, Madera, and Assistant Adjunct Professor, School of Nursing, University of California, San Francisco; Marilyn C. Savedra, RN, DNS, FAAN, is a Professor Emerita, School of Nursing, University of California, San Francisco; Christine Miaskowski, RN, PhD, FAAN, is Professor and Associate Dean for Academic Affairs, School of Nursing, University of California, San Francisco; Danielle Holdridge-Zeuner, RN, is a Research Nurse, School of Nursing, University of California, San Francisco; Steven Waite, PharmD, is Coordinator, Clinical Pharmacy, Children's Hospital Central California, Madera; Steven M. Paul, PhD, is Principal Statistician, School of Nursing, University of California, San Francisco; and Brent Lanier, MD, is a Board Certified Otolaryngologist, Central California Ear, Nose and Throat Medical Group, Fresno, CA.

Author contact: ksutters@childrenscentralcal.org, with a copy to the Editor: roxie.foster@uchsc.edu

Abstract

PURPOSE. To document children's (ages 6–15 years) descriptions of their pain management at home following tonsillectomy.

DESIGN AND METHODS. Audio-taped interviews of 80 children were transcribed and coded. Data for each response category were tabulated.

RESULTS. Children reported they had more pain after surgery than expected, the pain medicine helped to take their pain away, taking the pain medicine was associated with a negative response by some children, and cold liquids/food by mouth provided pain relief.

PRACTICE IMPLICATIONS. Findings provide insight into children's perspective of pain management at home following tonsillectomy and methods for relieving their pain.

Ancillary