title: Retrospective case report: evaluation of pain in a child with pervasive developmental disorder.
abstract: OBJECTIVE
  To describe how a nurse and a physical therapist in an interprofessional (IP) school-based clinic collaborated to meet the needs of a child with pervasive developmental disorder-not otherwise specified, with atypical classroom behaviors and declining student performance.
  
  
  CONCLUSIONS
  The IP team sought answers for atypical classroom behaviors with declining student performance. Student sensory perceptions masked and delayed the ability to recognize infection.
  
  
  METHODS
  Cumulative observations by the team generated serial referrals until a diagnosis of dental abscess was identified.
  
  
  CONCLUSIONS
  An IP team in this school setting generated a positive outcome for a student demonstrating absence of clear indicators of pain or infection, with additional positive outcomes for the clinic.
  
  
  CONCLUSIONS
  Further studies are needed to recognize illness earlier in the absence of pain or pain perception in children with a form of autism spectrum disorder and to develop reliable and valid metrics for pain identification.
authors.affiliation: School of Physical Therapy and Rehabilitation Sciences, College of Medicine, University of South Florida, Tampa, Florida, USA. amieres@health.usf.edu
authors.forename: Ana C
authors.initials: AC
authors.lastname: Mieres
authors.forename: Varina
authors.initials: V
authors.lastname: Smallwood
authors.forename: Sheila K
authors.initials: SK
authors.lastname: Nicholson
mesh_terms: D002648:Child; D002659:Child Development Disorders, Pervasive / Q000175:diagnosis* / Q000451:nursing / Q000473:pathology; D006801:Humans; D008297:Male; D010146:Pain / Q000175:diagnosis* / Q000451:nursing / Q000473:pathology; D010147:Pain Measurement / Q000379:methods*; D010348:Patient Care Team; D026741:Physical Therapy Modalities; D012678:Sensation Disorders; D013647:Task Performance and Analysis