Issues in comprehensive pediatric nursing
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Issues Compr Pediatr Nurs · Jan 2009
Randomized Controlled TrialFamily exemplars during implementation of a home pain management intervention.
Postoperative pain and symptom management at home following pediatric tonsillectomy and adenoidectomy (T & A) is challenging. There are few randomized clinical trials that have established postoperative care interventions that are specific and effective during home recovery. The purpose of this pilot feasibility study was to describe how children and their families implemented a randomly assigned alarm intervention designed to promote postoperative around-the-clock administration of analgesics. ⋯ Themes that emerged from the qualitative analysis of the interviews included painful challenges; struggling with decisions; making things work; a lengthy recovery; and family support. Results supported the need for research to establish evidenced-based home care interventions specific for T & A postoperative recovery. Mothers and children suggested the need for education and support that extends longer into the recovery period.