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

El dolor del niño con enfermedad falciforme: el abordaje del enfermero

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.

Descriptors:
Anemia, Sickle Cell; Child; Pain; Pediatric Nursing; Nursing Care

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