International Association for the Study of Pain«    IASP Press«

Progress in Pain Research and Management, Vol. 10

Editors: G. Allen Finley and Patrick J. McGrath

1997, 224 pp, hardbound, ISBN 0-931092-20-5. Special Price: $35.00 US 

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Exciting research initiatives on pain measurement have developed in recent years. In this book, some of the most productive investigators from Europe, North America, and Australia share their understanding of the different approaches to the field. Basic and clinical science as well as different disciplines of clinical practice in psychology, nursing, and medicine are represented. Physiological, anatomical (imaging), behavioral, and self-help techniques of pain measurement are discussed. Chapter topics include: roles of measurement in pain management and research; psychometric issues in the measurement of pain in children; neurophysiological and neurobiological correlates of supraspinal pain processing: measurement techniques; flexion reflex properties in the human infant: a measure of spinal sensory processing in the newborn; physiological measures of pain; behavioral measures of pain; facial display of pain; measurement of pain by self-report; composite measures of pain; and putting pain measurement into clinical practice.

Table of Contents: Measurement of Pain in Infants and Children

Introduction: The Roles of Measurement in Pain Management and Research. 
G. Allen Finley and Patrick J. McGrath
Psychometric Issues in the Measurement of Pain in Children. C. CÚleste Johnston
Neurophysiological and Neurobiological Correlates of Supraspinal Pain Processing: Measurement Techniques.  K.J.S. Anand
Flexion Reflex Properties in the Human Infant: A Measure of Spinal Sensory Processing in the Newborn.  Maria Fitzgerald and Katharine Andrews
Physiological Measures of Pain. Susan D. Sweet and Patrick J. McGrath
Behavioral Measures of Pain. Patrick J. McGrath
The Facial Display of Pain. Kenneth D. Craig
Measurement of Pain by Self-Report. 
G. David Champion, Belinda Goodenough, Carl L. von Baeyer, and Warwick Thomas
Composite Measures of Pain. Bonnie Stevens

Putting Pain Measurement into Clinical Practice.
Nancy O. Hester, Roxie L. Foster, Maryalice Jordan-Marsh, Elizabeth Ely, Carol P. Vojir, Karen L. Miller

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The editors have assembled a dazzling array of contributors from Canada, the United States of America, the United Kingdom and Australia to produce a classic summary of the techniques available for the measurement of paediatric pain in 1998.
Colour photographs enhance a brilliantly clear description of the facial display of pain by Kenneth Craig.
Self-reporting of pain experience by children is discussed in detail. This is a most expert, balanced critique with the available self-report measures checked against the elusive "ideal."
. . . composite measures of pain are beautifully summarized.
The final chapter draws the threads together in illustrating how the thorny issues of incorporating the available paediatric pain measurement techniques into routine clinical practice can be tackled.
. . . this excellent book contains all the information you need to learn how to measure pain in infants and children. You can find the information readily via the comprehensive index and reference lists and if you find any gaps, you are given an address, telephone number, fax number and e-mail contact for each chapter! British Journal of Anaesthesia
Each chapter provides an excellent discussion of the basis for the use of each pain assessment technique and reviews the latest data available on their validation and clinical applications.
The text is well organized and provides the reader with up-to-date information. The individual chapters are also well organized and provide tables and illustrations of various assessment tools, as well as a complete listing of the tools and techniques currently available or under investigation.
The price of the book is reasonable, given its comprehensive nature. It is the first book to specifically address the issues surrounding pain measurement in children.
. . . As a practitioner, I value the thorough review of the developmental stages through which infants and children progress and the impact that these changes will have on assessment results. Clinical specialists who care for children must be able to make adequate assessments of pain to provide pharmacologic recommendations and appropriate drug monitoring. I believe this text is a key addition to the libraries of researchers and healthcare professionals involved in the management of pain in infants and children. Annals of Pharmacotherapy
Well-written [and] interesting . . . are the chapters on neuroimaging and neurophysiological measurement of supraspinal pain processing and the neonatal flexion reflex . . . There is also a practical chapter on the implementation of pain scales into clinical practice.
This book should be read by those involved in paediatric pain research or clinical practice. A clinician who alters practice based on the results of a paediatric pain study should be aware of the advantages, degree of validation and limitations of the "outcome measure" used. This book provides this information in an accessible format.
Anaesthetists and pain nurse clinicians who assess and treat toddlers, infants or cognitively challenged adults who cannot use the "gold standard" of self-report will find this book useful. Canadian Journal of Anaesthesia
...this book elevates the reader’s awareness of the complexity of measuring pain and of the strengths and weaknesses of current pain measures. This book serves as a reality check for practitioners and researchers interested in making scientific, reproducible progress in pain management. Measuring pain is no easy task.
[Chapter 4] describes in exquisite detail the Flexion Reflex Properties of the human infant as a measurement of pain processing ... [In Chapter 5 Sweet and McGrath] review studies that examine the correlation of routinely measured physiological changes (e.g., increases in blood pressure or heart rate) with painful experiences. Using their own brand of common sense they examine each parameter’s reliability, validity, and specificity with regard to pain measurement. This chapter is a "must read" for any clinician or researcher who stands at the patient’s bedside and believes he/she can judge a patient’s pain based on [these parameters].
This well-written chapter [Chapter 9] will greatly aid a researcher in making [the choice among many available measuring formats].
[This book] contains a tremendous amount of information ... [It] allows the reader to discover a pain measure and to read a well-referenced review of that measure. Journal of Pharmaceutical Care in Pain & Symptom Control
... a very readable book that provides an up to date review of the state of the art in pediatric pain measurement.
... the book is targeted for a multidisciplinary audience (e.g., nurses, psychologists, physicians, etc.,) who work with pediatric pain patients. However, it would also make an excellent primer for those new to the area and those who would like a quick and comprehensive introduction to the issues involved in measuring pain in children.
All of these chapters are clearly written, describe the utility and latest research on the measures for different developmental levels and are made more accessible through the use of helpful diagrams or samples of the measurement instruments. In the chapter by Kenneth Craig, colour photographs are included that greatly enhance the descriptions of the facial expression of pain.
...this book is a concise, highly accessible update on pain measurement in children. It is unique in its focus on integrating the practical and technical aspects of pain measurement and should appeal to a wide audience of both clinicians and scientists. Pain Research & Management
The book is suited ideally to those with an interest in pain assessment as a research tool. It is current, topical and comprehensive in covering its field. As this text is devoted specifically to pain assessment in paediatrics, it is more comprehensive and instructive in this area than most of the major pain textbooks. Of course there are practical applications for such tools and those seeking to trace the validity of various pain assessment scales in paediatrics are well served by this text as a reference point. The chapters are well researched and well referenced.
This book will be useful to anyone intending to undertake clinical research in the paediatric pain field. It would also appeal to those involved with acute and chronic paediatric pain management clinics where a knowledge of the limitations of various pain management tools is necessary. Others who will find at least specific chapters useful include those treating children who are unable to self-report pain, e.g. cerebral palsy patients or neonates and infants. Its subject matter is too involved for those with only a passing interest. The final chapter on the clinical application of pain measurement is, however, essential reading for anyone who deals with children in pain. Journal of Paediatrics and Child Health
[This volume] goes a very long way toward providing answers to those difficult questions [regarding assessment of pain in children]. The editors have provided a seamless and clear overview of this subject. They have assembled a star-studded list of contributors, whose efforts have fulfilled the editorial aims.
The volume builds up a picture of pain assessment by careful consideration of the wide range of core components of the subject.
Thus, the neurophysiology of assessment, physiological parameters, behavioural indices and self-report measures are all comprehensively covered. A level-headed approach to the subject is further underlined by the sensible inclusion of the chapter delineating the pitfalls of reliability and validity; a common failure of many pain research papers. Overall the authors provide a comprehensive and valuable dissertation on this subject. The last chapter, covering the difficult issue of how to introduce these techniques into everyday practice, is especially useful given that this is an area in which the best intentions often fail.
The assessment of pain is far from perfect; this useful volume …offers practising clinicians valuable advice on how to manage this difficult area. It can be recommended to nurses with an interest in pain, to trainees in both paediatrics and anaesthesia, and to specialists keen to advance the cause of better pain management in children. Acute Pain

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