Document Detail

The pain experience of patients with sickle cell anemia.
MedLine Citation:
PMID:  11710089     Owner:  NLM     Status:  MEDLINE    
Sickle cell anemia is a genetic disorder that affects 1 in 600 black infants in the United States. The painful crisis is one of its most characteristic manifestations and consists of pain in the extremities, back, abdomen, or chest. It may occur in 4 phases and may be precipitated by a variety of factors. The frequency, location, duration, severity, and character of pain differ both within and among patients. The pain may be localized, involve several areas, be diffuse, or be migratory. The intensity of pain varies from mild to excruciating and is perceived to be more intense by those who have experienced other forms of pain such as postoperative pain. Patients with sickle cell anemia who experience frequent painful crises exhibit problems with self-concept and low self-esteem, anxiety, depression, dissatisfaction with body image, poor school performance, social isolation, decreased participation in normal activities of daily living, and poor peer and family relationships. The periodic and unpredictable episodes can be incapacitating and may affect the way children see and feel about themselves, the way they relate to other people, the goals they set for themselves, and the way they approach a range of activities and situations. Research is very limited, and most of the available literature is based on personal observations, opinions, and anecdotal reports. The purpose of this report is to describe the phases of a painful episode as well as to examine the predisposing factors to, defining characteristics of, and patient outcomes associated with a painful crisis from sickle cell anemia.
E Jacob
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Publication Detail:
Type:  Journal Article; Research Support, U.S. Gov't, P.H.S.; Review    
Journal Detail:
Title:  Pain management nursing : official journal of the American Society of Pain Management Nurses     Volume:  2     ISSN:  1524-9042     ISO Abbreviation:  Pain Manag Nurs     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-11-16     Completed Date:  2001-12-14     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  100890606     Medline TA:  Pain Manag Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  74-83     Citation Subset:  IM; N    
Hematology/Oncology Unit, Children's Hospital Oakland, Oakland, CA, USA.
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MeSH Terms
Activities of Daily Living
Adaptation, Psychological
Anemia, Sickle Cell / physiopathology*,  psychology
Pain / physiopathology*,  psychology
Quality of Life
Grant Support
T32-NR07088-01/NR/NINR NIH HHS

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