Sushma Oommen - Academia.edu (original) (raw)

Papers by Sushma Oommen

International journal of research in paediatric nursing, 2022

Pain induced by the medical procedures is one of the reasons for avoidance of health care service... more Pain induced by the medical procedures is one of the reasons for avoidance of health care services. During hospitalization intravenous cannulation is the most common procedure done. This preliminary study aimed to evaluate the effectiveness of local cold application in preventing or minimizing pain among children while undergoing invasive intravenous procedures and conducted this study. Objectives-To assess and evaluate the intensity of pain and behavioural distress among children during invasive intravenous procedures with and without local cold application and to determine the association between the intensity of pain, behavioural distress in children undergoing invasive intravenous procedures and selected variables. Methods-An experimental approach with post test only control group design was used for the study. The sample for the study comprised of 24 children with age group of 3-12 years; 12 children for each experimental group and control group selected by purposive sampling with random assignment. Pain and behavioural distress were assessed using Revised Faces Pain Assessment Scale and behavioural distress Scale respectively. Findings-Majority of children were between the age group of 3 to 5.9 years. Most (79.2%) had history of hospitalization and invasive procedures. The results of the pilot study show that cold application before the invasive intravenous procedures reduces pain and pain associated behavioural distress among children caused due to invasive intravenous procedures.

International Journal of Research in Paediatric Nursing, 2022

International Journal of Health Sciences and Research, 2020

Background - Pain is a very frequent phenomenon during childhood; it can be a symptom of an acute... more Background - Pain is a very frequent phenomenon during childhood; it can be a symptom of an acute or chronic illness or may occur as a part of routine medical care like immunization. All types of pain lead to distress which is exhibited through behavior. Most of the people engage in these behaviors when in pain. For younger children or those with developmental delays often where communication is difficult, behavior is the only indicator of distress, as well as the degree of pain.2 Those behaviours that indicate that an individual is experiencing pain are called pain behaviours. They include behaviors such as resting, guarding, grimacing, asking for help, taking medication, and other observable behaviors. Behavioral measures consist of an assessment of crying, facial expressions, body postures, and movements. Those children who cannot verbalize like newborns, infants, and younger children these measures are the only way to assess pain. Objective- To identify and report that behavior ...

Does parental anxiety affect children’s perception of pain during intravenous cannulation?

Nursing Children and Young People, 2019

BACKGROUND Pain associated with invasive medical procedures is a significant cause of anxiety for... more BACKGROUND Pain associated with invasive medical procedures is a significant cause of anxiety for parents. This may increase children's anxiety, pain and fear. AIM To determine the anxiety perceived by parents of children undergoing intravenous cannulation and the influence of parental anxiety on the intensity of pain experienced, and to explore the association between selected variables and anxiety perceived by parents. METHOD A descriptive correlational approach was adopted and a purposive sample of 48 children and their parents was selected. The pilot study was conducted in the children's wards of a selected hospital in Mumbai, India, between August 2017 and January 2018. Parental anxiety was assessed using the short version of the Depression and Anxiety Stress Scales. Pain experienced by children was assessed using the Faces Pain Scale-Revised. RESULTS Mild anxiety was experienced by 6% ( n =6) of parents, while 52% ( n =25) had moderate to extreme anxiety. More than one third of the children (35%, n =17) reported moderate pain and 31% ( n =15) reported severe pain. A positive correlation was found between pain and parental anxiety and between parental anxiety and age and birth order. CONCLUSION Parental anxiety influences the perception of pain in children. Parents should be made aware of how their anxiety can affect children's pain experiences during medical procedures and take measures to reduce anxiety, such as relaxation, distraction and deep breathing. Children's nurses can help parents manage preprocedural anxiety to reduce the traumatic effect on children.

Effectiveness of the Distraction Technique on Pain & Behavioral Distress During Invasive Pediatric Procedure Among School Age Children

International Journal of Nursing Education, 2014

The study evaluated the effectiveness of "distraction technique" on perceived pain and ... more The study evaluated the effectiveness of "distraction technique" on perceived pain and behavioral distress during invasive paediatric procedure. The Conceptual Framework adopted for the study was based on the "systems model". An experimental approach with only post-test-control group design was adopted. Sixty children aged 6–12 years were selected using Simple random-sampling technique, thirty children in each the experimental and the control group.

A Study to Assess Fear Perceived by Children Undergoing Painful Invasive Intravenous Procedures

Indian Journal of Public Health Research & Development, 2019