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How pain management...
How pain management for children with cerebral palsy in South African schools complies with up-to-date knowledge
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- Johnson, Ensa (författare)
- Centre for Augmentatve and Alternatve Communicaton, Faculty of Humanites, University of Pretoria, Pretoria, South Africa
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- Nilsson, Stefan (författare)
- Gothenburg University,Göteborgs universitet,Jönköping University,HHJ. CHILD,Insttute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden,Centrum för personcentrerad vård vid Göteborgs universitet (GPCC),Institutionen för vårdvetenskap och hälsa,University of Gothenburg Centre for person-centred care (GPCC),Institute of Health and Care Sciences
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- Adolfsson, Margareta, 1950- (författare)
- Jönköping University,HLK, CHILD,Centre for Augmentatve and Alternatve Communicaton, Faculty of Humanites, University of Pretoria, Pretoria, South Africa
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Centre for Augmentatve and Alternatve Communicaton, Faculty of Humanites, University of Pretoria, Pretoria, South Africa HHJ CHILD (creator_code:org_t)
- 2019-11-22
- 2019
- Engelska.
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Ingår i: African Journal of Disability. - : AOSIS. - 2223-9170 .- 2226-7220. ; 8
- Relaterad länk:
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https://doi.org/10.4...
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https://doi.org/10.4...
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https://urn.kb.se/re...
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https://doi.org/10.4...
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https://gup.ub.gu.se...
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Abstract
Ämnesord
Stäng
- Background: Pain in children with cerebral palsy (CP) has its sources in musculoskeletal problems that can influence learning in a school setting. Best pain management is essential for these children, but school staff may not keep up to date with the latest developments and interventions. Therefore, staff’s perceptions of beneficial strategies may not comply with contemporary scientific knowledge about effective evidence-based interventions.Objectives: This study investigated how pain management intervention for children with CP in South African schools complied with international scientific knowledge about evidence-based interventions. The intention was to provide support for an update of knowledge on both individual level (i.e. professionals) and system level (i.e. decision makers).Method: Five focus groups were conducted with staff members at five schools for children with special educational needs in South Africa. Manifest and latent content analyses of professional statements identified interventions reported as beneficial and related them to higher and lower levels of intervention evidence as reported at the time of data collection.Results: Most treatment strategies concerned motor functioning that fell within the framework of physiotherapists and occupational therapists. Access to orthopaedic expertise was limited, waiting times were long and medication for spasticity treatment was not offered.Conclusion: A discrepancy between published evidence and clinical practice for pain management in children with CP in South African school settings was noted. Suggestions for improved early intervention to identify children’s hips at risk through surveillance programmes; and orthopaedic management are proposed to prevent deformities and unnecessary suffering in South African children with CP.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Annan hälsovetenskap (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Other Health Sciences (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Nyckelord
- evidence-based practice
- intervention
- clinicians
- children with cerebral palsy
- pain management
- evidence-based practice
- intervention
- clinicians; children with cerebral palsy
- pain management
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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