title: Parent satisfaction with acute pediatric pain treatment at home.
abstract: OBJECTIVE
  Outpatient pain management after acute injuries is an important part of emergency department (ED) care, but there is little evidence to support best practice. Satisfaction with care is one way to assess the effectiveness of current practice. This study describes the outpatient pain experience for children with an arm fracture and explores the variables associated with parents' dissatisfaction with pain treatment for 2 analgesics after ED care.
  
  
  METHODS
  As a part of a randomized clinical trial assessing pain treatment after an arm fracture, parents and their children completed daily diaries recording pain scores, function disruption (play, school, sleep, eating), and adverse effects for 3 days after discharge from the ED. Parents and children also completed the Total Quality Pain Management Instrument on the third day to assess pain experience. Parents' satisfaction was defined with an arm fracture lowest reported satisfaction during the study period.
  
  
  RESULTS
  A total of 244 children with complete diaries were analyzed. More than half of children reported pain at home that was present "all the time" or "quite a bit." Thirty-two percent of parents were not satisfied with home pain treatment for their child. Parents' dissatisfaction was strongly associated with inadequate pain relief. It was also independently associated with nausea, disruption in play and sleep, and increased doses of medication.
  
  
  CONCLUSIONS
  Children with arm fractures experience noteworthy pain in the outpatient setting. Parents' dissatisfaction with home pain management for children suggests that more research is needed to evaluate the factors that result in improvements in both parent and child satisfaction and the most effective way of producing those changes.
authors: Medical College of Wisconsin, Medical College of Wisconsin, Milwaukee, WI, USA.
authors: Molly
authors: M
authors: Gill
authors: Amy L
authors: AL
authors: Drendel
authors: Steven J
authors: SJ
authors: Weisman
mesh_terms: D000293:Adolescent; D000553:Ambulatory Care / Q000706:statistics & numerical data*; D001134:Arm Injuries / Q000453:epidemiology / Q000534:rehabilitation; D017028:Caregivers / Q000706:statistics & numerical data*; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D050723:Fractures, Bone / Q000453:epidemiology* / Q000534:rehabilitation; D006699:Home Care Services / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D010146:Pain / Q000453:epidemiology* / Q000517:prevention & control*; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D016896:Treatment Outcome; D014922:Wisconsin / Q000453:epidemiology