The pain of children with sickle cell disease: the nursing approach

Abstract

OBJECTIVE: To describe how nurses identify the pain in children with sickle cell disease (SCD) and to list the strategies used by them in the evaluation and control of pain. METHOD: This is a qualitative, descriptive and exploratory research, performed through semi-structured interviews with 13 nurses. The interviews were transcribed and after this process the qualitative data were organized according to thematic analysis. RESULTS: This study showed that the nurses can identify pain in children with SCD from the signals they emit, such as: constant crying, restlessness, facial expressions and verbal reports. Pain is difficult to evaluate due to the lack of instruments, such as a pain scale. For pain control they use emotional support, promotion of comfort and the administration of drugs prescribed by the doctor. FINAL CONSIDERATIONS: The nurses recognize the pain of the child and use pharmacological and non-pharmacological methods to control it but have difficulties to assess it.