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Journal of Child Health Care
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Pain at home: children's experience of tonsillectomy

Janet Swallow

Staff Nurse, Bee Ward 91, The General Infirmary at Leeds

Michelle Briggs

Centre for the Analysis of Nursing Practice, Leeds Community

Pete semple

St James's University Hospital, Leeds

{blacksquare} Earlier discharge following tonsillectomy increases the need for good pain management advice and effective analgesia.

{blacksquare} An audit determined the nature of children's pain experiences at home following tonsillectomy and identified pain management strategies used.

{blacksquare} Combined analgesia and formal pain assessment significantly reduced the number of children in moderate or severe pain on discharge.

{blacksquare} Pain could worsen following discharge, persist for three to ten days and be at times moderate to severe.

{blacksquare} 50% of parents contacted their GP and 75% of children required paracetamol and ibuprofen concurrently.

{blacksquare} Audit data was utilised to develop comprehensive written pain management advice and a discharge protocol for combined analgesia.

Key Words: KEY WORDS: Analgesia • Audit • Children, Discharge • Information • Pain • Tonsillectomy.

Journal of Child Health Care, Vol. 4, No. 3, 93-98 (2000)
DOI: 10.1177/136749350000400301
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