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Process of Pain Assessment and Factors Influence the Process:The Nursing Care Situation for the Child with Cancer Pain 1
Noriko Katada
※1
Tomoko Furuhashi
※2
Hitomi Katsuda
※1
Aki Nakaoka
※3
Yukiko Takaya
※4
Machiko Suzuki
※5
Yumiko Iwasaki
※6
Sayoko Iwai
※7
Yasue Hirao
※8
Tomomi Matsubayashi
※9
※1 College of Art and Science,Hyogo
※2 Miyagi Children's Hospital
※3 Kochi Red Cross Hospital
※4 School of Nursing,Shiga University of Medical Science
※5 The Japanease Red Cross Hiroshima College of Nursing
※6 Hyogo Prefectural Kobe Children's Hospital
※7 Hyogo Prefectural Kobe Children's Hospital
※8 Hyogo Prefectural Tsukaguchi Hospital
※9 Kitasato University Hospital
The main purpose of this study was to build the integrated nursing care method to relieve the child from cancer pain. This paper covers a part of the larger study and describe the nursing care situation for the child with cancer pain which focused on the process of pain assessment carried out by nurses and factors influence its process. The subjects of this study（N=17）were nurses who worked at the hospital reported to utilizing WHO method of pain treatment. Interviews were conducted after obtaining the informed consent from the subject and ethical consideration for privacy and free participation had been taken through the study. The data were analyzed by the group of research members. The process of the nurses' assessment when they face with the children in pain was abstracted from the data. There are three stages until the nurses come to grasp of the situation and tried to intervene the child with pain. Even though the nurses perceived the child having the pain,the nurses were not necessary to initiate the intervention. It was observed that the nurses were trying to differentiate the true pain from false pain. The process was complicated by children's developmental level of verbal ability. In order for the nurses to determine the nature of child's pain and to intervene,the presence of concrete evidence seems to be necessary.
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