Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results

Introduction: Pain assessment in non-verbal patients during medical interventions can be challenging due to communication problems. Therefore, it is necessary to use new pain measurement tools for these patients. Objective: The objective of the study was to assess the incidence of pain in patients w...

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Autores principales:	Consuelo Mancías-Guerra, Sandra A. Sánchez-García, Ileana Velasco-Ruiz, Rodrigo Huerta-Rangel, Sofía A. Carreño-Salcedo, Oscar Gonzalez-Llano
Formato:	article
Lenguaje:	EN ES
Publicado:	Permanyer 2021
Materias:	Cerebral palsy. Autism spectrum disorder. Cell therapy. Pain. Bone marrow aspiration. Lumbar puncture. Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/1f54002fb3b941babe16c118a44fdd92
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spelling	oai:doaj.org-article:1f54002fb3b941babe16c118a44fdd922021-11-04T01:12:29ZPain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results10.24875/RMU.210000081665-57962530-0709https://doaj.org/article/1f54002fb3b941babe16c118a44fdd922021-04-01T00:00:00Zhttps://www.medicinauniversitaria.org/frame_esp.php?id=127https://doaj.org/toc/1665-5796https://doaj.org/toc/2530-0709Introduction: Pain assessment in non-verbal patients during medical interventions can be challenging due to communication problems. Therefore, it is necessary to use new pain measurement tools for these patients. Objective: The objective of the study was to assess the incidence of pain in patients with cerebral palsy (CP) and autism spectrum disorder (ASD) who undergo bone marrow aspiration (BMA) and lumbar puncture (LP) for cell therapy. Methods: The “Non-Communicating Children’s Pain Checklist-Revised” checklist was used to observe the behavior of 15 patients diagnosed with CP and ASD before and after cell therapy. The evaluation was carried out simultaneously by a caregiver and by the staff of the medical team on three occasions. Scores ≥ 7 were considered as the presence of moderate or severe pain. Results: Regarding the scores obtained in the second survey (30 min after the BMA and LP), the caregivers reported values of < 7 points in 10 patients (66.7%). At the same time, in the evaluation performed by caregivers 24 h after the procedure, scores of < 7 points were reported in eight (53.3%). The items with the highest scores in the surveys were verbal and facial expressions, social attitudes, and activities. Conclusions: The procedures carried out in cell therapy were safe and well-tolerated by this group of patients, with an incidence of pain in only 33.3%, which can be considered a therapeutic alternative to improve their current condition without compromising their integrity or quality of life. Consuelo Mancías-GuerraSandra A. Sánchez-GarcíaIleana Velasco-RuizRodrigo Huerta-RangelSofía A. Carreño-SalcedoOscar Gonzalez-LlanoPermanyerarticleCerebral palsy. Autism spectrum disorder. Cell therapy. Pain. Bone marrow aspiration. Lumbar puncture.Medicine (General)R5-920ENESMedicina Universitaria, Vol 23, Iss 2 (2021)
institution	DOAJ
collection	DOAJ
language	EN ES
topic	Cerebral palsy. Autism spectrum disorder. Cell therapy. Pain. Bone marrow aspiration. Lumbar puncture. Medicine (General) R5-920
spellingShingle	Cerebral palsy. Autism spectrum disorder. Cell therapy. Pain. Bone marrow aspiration. Lumbar puncture. Medicine (General) R5-920 Consuelo Mancías-Guerra Sandra A. Sánchez-García Ileana Velasco-Ruiz Rodrigo Huerta-Rangel Sofía A. Carreño-Salcedo Oscar Gonzalez-Llano Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
description	Introduction: Pain assessment in non-verbal patients during medical interventions can be challenging due to communication problems. Therefore, it is necessary to use new pain measurement tools for these patients. Objective: The objective of the study was to assess the incidence of pain in patients with cerebral palsy (CP) and autism spectrum disorder (ASD) who undergo bone marrow aspiration (BMA) and lumbar puncture (LP) for cell therapy. Methods: The “Non-Communicating Children’s Pain Checklist-Revised” checklist was used to observe the behavior of 15 patients diagnosed with CP and ASD before and after cell therapy. The evaluation was carried out simultaneously by a caregiver and by the staff of the medical team on three occasions. Scores ≥ 7 were considered as the presence of moderate or severe pain. Results: Regarding the scores obtained in the second survey (30 min after the BMA and LP), the caregivers reported values of < 7 points in 10 patients (66.7%). At the same time, in the evaluation performed by caregivers 24 h after the procedure, scores of < 7 points were reported in eight (53.3%). The items with the highest scores in the surveys were verbal and facial expressions, social attitudes, and activities. Conclusions: The procedures carried out in cell therapy were safe and well-tolerated by this group of patients, with an incidence of pain in only 33.3%, which can be considered a therapeutic alternative to improve their current condition without compromising their integrity or quality of life.
format	article
author	Consuelo Mancías-Guerra Sandra A. Sánchez-García Ileana Velasco-Ruiz Rodrigo Huerta-Rangel Sofía A. Carreño-Salcedo Oscar Gonzalez-Llano
author_facet	Consuelo Mancías-Guerra Sandra A. Sánchez-García Ileana Velasco-Ruiz Rodrigo Huerta-Rangel Sofía A. Carreño-Salcedo Oscar Gonzalez-Llano
author_sort	Consuelo Mancías-Guerra
title	Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
title_short	Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
title_full	Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
title_fullStr	Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
title_full_unstemmed	Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results
title_sort	pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: preliminary results
publisher	Permanyer
publishDate	2021
url	https://doaj.org/article/1f54002fb3b941babe16c118a44fdd92
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Pain assessment of non-verbal patients undergoing bone marrow aspirations and lumbar puncture: Preliminary results

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