Specifics painful behavior of children with severe multiple disabilities

Authors: J. Chromá 1;  L. Sikorová 2
Authors‘ workplace: Ústav ošetřovatelství a porodní asistence, Lékařská fakulta, Ostravská univerzita, Ostrava vedoucí doc. PhDr. D. Jarošová, Ph. D. 1,2
Published in: Čes-slov Pediat 2015; 70 (4): 239-243.
Category: Review


Children with severe multiple disabilities express pain in any other way than the common population of children. Experiencing pain, its symptoms, effects, adaptive behavior, coping and its assessment is different in different stages of childhood, depending on gender, type of pain, and the type or severity of the disability of the individual. These children manifested through pain: motor skills, facial expressions and grimaces, stereotyped movements, voice expressions, changes in appetite or sleep, social behavior, physiological changes, immune, endocrine and humoral functions, which often stems from the socio-communication deficits. As a result of this deficit is then pain assessed by carer/healthcare professionals often ignored or underestimated. In the literature, there are a number of found evidence showing that health professionals have difficulties in non-verbal assessment of pain in these children. Evaluation of these behavioral parameters may contribute to the proper identification and subsequent improvement of pain treatment for children with severe multiple disabilities.

Key words:
pain behaviors, child, severe multiple disability


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Neonatology Paediatrics General practitioner for children and adolescents
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