Jean C Solodiuk

Learn More
Children's Hospital Boston began a major pain assessment and management initiative 3 years ago: Pain assessment and management are considered one of the institution's primary standards of care. The initiative included State of the Science meetings with internationally renowned nursing pain researchers and clinicians. These meetings generated nursing staff(More)
Clinical observation suggests that the number of serious epidural catheter-associated infections have increased recently in children. This increase is likely attributed to an increase in reporting and in frequency of epidural analgesia usage. Estimates of infection rates are difficult to determine primarily because of insufficient study of large pediatric(More)
BACKGROUND A randomized, double-blinded trial was performed to evaluate the efficacy and safety of the S-Caine Patch (ZARS, Inc., Salt Lake City, UT), a eutectic mixture of lidocaine and tetracaine, for pain relief during venipuncture in children. METHODS With institutional review board approval, parental consent, and patient assent, 64 children who were(More)
BACKGROUND Assessing pain for nonverbal children with intellectual disability is challenging. These children are at risk for pain from complex medical conditions and the interventions to treat those conditions. Pain responses are often misunderstood, given that the children are nonverbal and limited by their physical abilities. OBJECTIVES The general(More)
Clinical observations suggest that nonverbal children with severe intellectual disability exhibit pain in a wide variety yet uniquely individual ways. Here, we investigate the feasibility and describe the initial psychometrics properties of the Individualized Numeric Rating Scale (INRS), a personalized pain assessment tool for nonverbal children with(More)
CONTEXT Previous surveys have suggested that pain in hospitalized patients remains undertreated. However, little is known about those with persistently high pain scores. OBJECTIVES To document the distribution of scores and analyze the clinical characteristics of outliers with persistently high pain scores. METHODS With institutional review board(More)
BACKGROUND Codeine is an unpredictable analgesic because of its variable pharmacokinetic, pharmacodynamic, and pharmacogenetic properties. This variability may lead to ineffective analgesia in some and respiratory depression in others. Despite this, codeine is still widely used. At a pediatric tertiary medical institution, codeine was prescribed despite(More)
BACKGROUND Children with severe impairment of the central nervous system (CNS) have a high incidence of distressing symptoms, with many experiencing frequent recurrent pain episodes. OBJECTIVE The study objective was to describe presenting pain behaviors, daily dose, and response to gabapentin for the management of frequent recurrent pain in this(More)
OBJECTIVES The objectives of this scoping review were to: (1) identify publicly available educational videos on needle pain management; and (2) evaluate the content of these videos. METHODS Reviewers screened publicly available educational videos on pediatric needle pain management available on YouTube and Google using a broad-based search strategy.(More)