title: Changes in sleep, food intake, and activity levels during acute painful episodes in children with sickle cell disease.
abstract: As part of a larger study that examined pain experience, pain management, and pain outcomes among children with sickle cell disease, functional status (sleep, food intake, and activity levels) was examined during hospitalization for acute painful episodes. Children were asked to rate the amount of pain they experienced as well as the amount of time they slept, the amount of food they ate, and the amount of activity they had everyday. Children reported high levels of pain, which showed only a small decrease throughout hospitalization, and had disrupted sleep and wake patterns, decreased food intake, and decreased activity levels. Nurses need to routinely monitor functional status during acute painful episodes so that strategies to promote adequate sleep, food intake, and activity may be incorporated to minimize long-term negative outcomes in children with sickle cell disease.
authors.affiliation: Department of Hematology/Oncology, Texas Children's Cancer Center, Houston, TX, USA. exjacob@texaschildrenshospital.org
authors.forename: Eufemia
authors.initials: E
authors.lastname: Jacob
authors.forename: Christine
authors.initials: C
authors.lastname: Miaskowski
authors.forename: Marilyn
authors.initials: M
authors.lastname: Savedra
authors.forename: Judith E
authors.initials: JE
authors.lastname: Beyer
authors.forename: Marsha
authors.initials: M
authors.lastname: Treadwell
authors.forename: Lori
authors.initials: L
authors.lastname: Styles
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology*; D000208:Acute Disease; D000293:Adolescent; D000755:Anemia, Sickle Cell / Q000150:complications* / Q000523:psychology; D001294:Attitude to Health; D002140:California; D002648:Child; D002673:Child, Hospitalized / Q000523:psychology*; D002675:Child, Preschool; D004435:Eating / Q000523:psychology*; D005260:Female; D006293:Health Promotion; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D024802:Nurse's Role; D015404:Nursing Methodology Research; D010146:Pain / Q000175:diagnosis / Q000209:etiology / Q000523:psychology*; D010147:Pain Measurement; D010371:Pediatric Nursing / Q000458:organization & administration; D002666:Psychology, Child; D012720:Severity of Illness Index; D012893:Sleep Wake Disorders / Q000209:etiology / Q000523:psychology*