TABLE 3

Characteristics of Children With “Severe Pain”a as Documented in the Medical Record in the Past 24 Hours

PatientAge (y)Time in Hospital (d)Reason for AdmissionNo. of Assessments ≥7No. of Interventions Within 30 minbNo. of Interventions Within 60 minPain Management StrategiescPain Consult
117.57Chronic abdominal pain200NoneNo
26.613Urethral fistula repair100NoneNo
38.99Neurogenic bowel/bladder111Analgesics, relaxation, distraction, environmental, otherNo
4d12.54New acute myeloid leukemia211AnalgesicsNo
5d0.79Neuroblastoma111Analgesics, distraction, environmentalNo
617.01Pectus excavatum888AnalgesicsNo
711.36Bowel perforation100NoneNo
80.53Abdominal pain/Clostridium difficile433Analgesics, reposition, environmental, otherNo
90.828Aspiration111Analgesics, environmental, otherNo
1012.91Abdominal pain211Analgesics, distractionNo
1113.71Fall746AnalgesicsNo
120.7235Trisomy 21/AV canal defect412AnalgesicsNo
1317.91New onset diabetes101AnalgesicsNo
140.11Hydronephrosis111Analgesics, environmental, otherNo
1511.63Left ankle/Achilles pain111Analgesics, distraction, otherNo
  • a A pain score ≥7 was considered “severe pain.”

  • b A child was considered to have received an “intervention” if a health care team member documented an attempt to manage the pain (eg, with analgesia) within 30 to 60 min of the pain assessment.

  • c Examples of “environmental” pain management strategies included, but were not limited to, adjustments in room lighting and minimizing noise.

  • d Patients 4 and 5 were undergoing inpatient chemotherapy and received integrative medicine consultations from a integrative medicine nurse practitioner to help manage nausea and vomiting. However, neither patient was referred for a pain consultation.