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Children’s pain often is assessed by observation, either by parents or by medical personnel. To determine how well observational assessment reflects a child’s self-reported pain assessment, investigators compared results from an observational pain scale with that from two self-reported pain assessment tools in 75 children (age range, 3–15 years) who presented to a single emergency department in Israel with painful conditions.
Pain was assessed in the waiting room and at triage by medical staff using the previously validated, observational Alder Hey Triage Pain Score and by children using either the Wong-Baker Faces Pain Rating Scale (for ages 3–7 years) or a visual analog scale (for ages 8–15 years). The observational scale significantly und…