- To take the test online, go to our secure Web site at http://www.nursingcenter.com/ce/ajn . View instructions for taking the test online there.
- If you prefer to submit your test by mail, record your answers in the test answer section of the CE enrollment form below. Each question has only one correct answer. You may make copies of the form.
- Complete the registration information and course evaluation. Mail the completed enrollment form and registration fee to: Lippincott Professional Development, CE Group, 74 Brick Blvd., Bldg. 4, Suite 206, Brick, NJ 08723. You will receive your certificate in four to six weeks. For faster service, include a fax number and we will fax your certificate within two business days of receiving your enrollment form. You will receive your CE certificate of earned contact hours and an answer key to review your results. There is no minimum passing grade.
- Registration deadline is June 5, 2020.
DISCOUNTS AND CUSTOMER SERVICE
- Send in together two or more tests from any nursing journal published by Lippincott Professional Development (LPD), and deduct $0.95 from the price of each test.
- We also offer CE accounts for hospitals and other health care facilities online at www.nursingcenter.com. Call 1-800-787-8985 for details.
LPD will award the number of contact hours indicated for each continuing nursing education activity. LPD is accredited as a provider of continuing nursing education by the Commission on Accreditation of the American Nurses Credentialing Center.
These activities are also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for the number of contact hours indicated. LPD is also an approved provider of continuing nursing education by the District of Columbia, Georgia, and Florida #50-1223.
Pain in Nonverbal Children with Medical Complexity: A Two-Year Retrospective Study
To present the details of a study done to describe the signs and symptoms that parents of nonverbal children with medical complexity found worrisome, to describe sources of pain in these children, and to identify nursing pain assessment practices for this population.
After completing this continuing education activity, you should be able to
- outline findings from the authors’ review of the literature.
- recognize nursing pain assessment practices in this population.
- discuss the findings of this study and any implications for practice.
- For their study, the authors defined children with medical complexity as those meeting 5 criteria, one of which is having
- only 1 chronic illness.
- mild to moderate developmental delays.
- limited or no verbal abilities.
- Although children with medical complexity account for between 5% and 10% of all hospitalizations, they account for what percentage of hospital deaths?
- nearly 25%
- about 32%
- up to 43%
- In a study by Mackie and colleagues, 15% of children with congenital heart disease were readmitted within how many days of discharge?
- Some children with medical complexity display behaviors not usually associated with pain, such as noises and expressions consistent with
- Exclusion criteria for children in the authors’ study included
- having more than very limited verbal ability.
- being unable to communicate in English.
- being unable to identify pain sites.
- At the study site, which of the following pain scales is identified for use with preverbal and neurotypical children younger than age 7?
- the Numeric Rating Scale
- the Wong–Baker FACES Pain Rating Scale
- the revised Face, Legs, Activity, Cry, Consolability (r-FLACC) scale
- At the study site, which of the following pain scales is identified for use with children who can verbally convey pain?
- the Individualized Numeric Rating Scale (INRS)
- the Wong–Baker FACES Pain Rating Scale
- the r-FLACC scale
- A limitation of the Pediatric Pain Profile tool is that it
- is difficult to populate.
- requires further testing.
- has lower reliability in patients with literacy challenges.
- Of the 46 subjects in the authors’ study, how many were able to self-report pain?
- Among the study subjects, the most common chronic condition was
- cerebral palsy.
- weakness or paralysis.
- seizure disorders.
- The most frequently identified cause of medical complexity was
- hypoxic ischemic encephalopathy.
- chromosomal abnormalities.
- neonatal infections.
- The most commonly reported symptom prompting parents to seek medical evaluation for a child was
- parental recognition of pain.
- abdominal distention.
- The most common discharge diagnosis was
- seizure activity.
- The most commonly consulted specialty service was
- The most common nurse-documented observation related to pain was
- “no evidence of pain.”
- “crying/cannot comfort.”
- “expresses pain.”
- The method of pain assessment used most often in this study was
- the INRS.
- the Wong–Baker FACES Pain Rating Scale.
- the r-FLACC scale.
- For pain scores > 4 with a documented intervention, 82% of pain reassessments showed a documented reduction in pain intensity of ≥ 30% within how many hours?
- Regarding future research, the authors recommend all of the following except
- using larger sample sizes to allow for greater generalizability of findings.
- omitting data collection of common sources of pain, such as infection.
- including children with complex chronic conditions who have some verbal abilities and can self-report.