Linda S Franck

University of East Anglia, Norwich, England, United Kingdom

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Publications (2)0.77 Total impact

  • Katie A Hunt, Linda S Franck
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    ABSTRACT: There is a lack of knowledge regarding the implementation of pain assessment tools for children with profound neurological impairment (PNI) in in-patient settings. This article describes a pilot project to evaluate the Paediatric Pain Profile (PPP) for children with PNI undergoing surgery. Five families of children 5 to 16 years of age with a primary diagnosis of cerebral palsy and admitted for surgical procedures were interviewed. Nineteen nurses completed questionnaires and children's pain management documentation was audited. The project identified issues in three areas of pain management: implementation process, individualised pain management and partnership. The PPP required pre-admission assessment and parental involvement, and was considered time-consuming by nurses. Individualised pain assessment and intervention was difficult to achieve, as was shared assessment and documentation among parents and nurses. Despite initial resistance to change, with greater use there was growing appreciation of the value of components of the PPP. Further exploration of the PPP tool in practice is required before its use can be widely recommended for children with PNI in in-patient settings. Future studies are required to determine which of the available pain assessment tools has the greatest accuracy and utility for assessment of post-operative pain in children with PNI.
    Journal of Child Health Care 08/2011; 15(3):210-20. · 0.77 Impact Factor
  • [show abstract] [hide abstract]
    ABSTRACT: This pilot study assesses the suitability of three electronic instruments for the potential to objectively and consistently measure the effectiveness of adaptive seating for children with neuromotor disorders such as cerebral palsy and muscular dystrophy. A MiniMicroactigraph, an XSens accelerometer and an Xsensor pressure mapping system were assessed for their ability to measure change in five participants' stability, movement and posture when seating in a flat CAPS II chair and a contoured CAPS II chair. The accelerometer and pressure mapping system showed a difference in amount of movement and body/seat interface between two contrasting seated surfaces on all children, demonstrating potential for use in future research. The results of the actigraph were inconclusive, but did highlight the importance of instrument placement for future studies that utilise this technology. The three instruments have potential suitability for use in future, more comprehensive studies of adaptive seating. It is recommended that future studies explore the additional features of these instruments for their potential to provide objective data regarding the effects of adaptive seating on children's postural alignment and support, pressure management, stability, functional ability and comfort.
    Disability and rehabilitation. Assistive technology 12/2010; 6(6):483-90.

Publication Stats

83 Views
0.77 Total Impact Points

Institutions

  • 2011
    • University of East Anglia
      Norwich, England, United Kingdom
  • 2010
    • Monash University (Australia)
      • Department of Occupational Therapy
      Melbourne, Victoria, Australia