Journal of Pain and Symptom Management
Volume 38, Issue 6 , Pages 837-848 , December 2009

Frequency and Self-Management of Pain, Dyspnea, and Cough in Cystic Fibrosis

  • Simone J. Stenekes, RN, MN

      Affiliations

    • Palliative Care Program, Winnipeg Regional Health Authority and Canadian Virtual Hospice, Winnipeg, Manitoba, Canada
    • Corresponding Author InformationAddress correspondence to: Simone J. Stenekes, RN, MN, Winnipeg Regional Health Authority, Palliative Care Program, A9024-409 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada.
    • ,
  • Amy Hughes, BSc, MD

      Affiliations

    • Dalhousie University Medical School, IWK Health Centre, Halifax, Nova Scotia, Canada
    • ,
  • Marie-Claude Grégoire, MD, MSc, FRCPC

      Affiliations

    • Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Nova Scotia, Canada
    • Department of Anesthesia, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Gerri Frager, RN, MD, FRCPC

      Affiliations

    • Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Walter M. Robinson, MD, MPH

      Affiliations

    • Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
    • ,
  • Patrick J. McGrath, OC, PhD, FRSC

      Affiliations

    • Centre for Pediatric Pain Research, IWK Health Centre, Halifax, Nova Scotia, Canada
    • Department of Pediatrics, Dalhousie University, Halifax, Nova Scotia, Canada
    • Department of Psychiatry, Dalhousie University, Halifax, Nova Scotia, Canada
    • IWK Health Centre, Halifax, Nova Scotia, Canada

,Accepted 6 April 2009.

References 

  1. Cystic Fibrosis Worldwide. Annual report 2005. Southbridge, MA: Cystic Fibrosis Worldwide; 2005;
  2. Canadian Cystic Fibrosis Foundation. Report of the Canadian Patient Data Registry. Toronto, Ontario: CCFF; 2002;
  3. McGrath PJ, Pianosi PT, Unruh AM, Buckley CP. Dalhousie dyspnea scales: construct and content validity of pictorial scales for measuring dyspnea. BMC Pediatr. 2005;5:33
  4. Pianosi P, Smith CP, Almudevar A, McGrath PJ. Dalhousie dyspnea scales: pictorial scales to measure dyspnea during induced bronchoconstriction. Pediatr Pulmonol. 2006;41:1182–1187
  5. Pianosi P, McGrath PJ, Smith C. Four pictorial scales to evaluate dyspnea in children. [abstract] Am J Respir Crit Care Med. 1998;157(Suppl):A782
  6. Palermo TM, Harrison D, Koh JL. Effect of disease-related pain on the health-related quality of life of children and adolescents with cystic fibrosis. Clin J Pain. 2006;22(6):532–537
  7. de Dreuzy P, De Villartay P, Sermet I, Lenoir G. Pain and cystic fibrosis in children [abstract]. Douleurs. 2005;6(hors-série 1):
  8. De Villartay P, de Dreuzy P, Hubert D, et al. Pain in children and adults with cystic fibrosis: a comparative study. J Cyst Fibros. 2005;4:S114
  9. Hubbard PA, Broome ME, Antia LA. Pain, coping, and disability in adolescents and young adults with cystic fibrosis: a web-based study. Pediatr Nurs. 2005;31:82–86
  10. Koh JL, Harrison D, Palermo TM, Turner H, McGraw T. Assessment of acute and chronic pain symptoms in children with cystic fibrosis. Pediatr Pulmonol. 2005;40:330–335
  11. Festini F, Ballarin S, Codamo T, Doro R, Loganes C. Prevalence of pain in adults with cystic fibrosis. J Cyst Fibros. 2004;3:51–57
  12. Broome M, Subramaniam P. A survey of pain experienced by cystic fibrosis patients and their parents. Pediatr Pulmonol. 2001;32(Suppl 22):324
  13. Broome M, Subramaniam P. A survey of pain practices of health care providers for cystic fibrosis patients. 2001. Available from: www.cfcenter.uab.edu/paincf6/research.html. Accessed September 25, 2009.
  14. Ravilly S, Robinson W, Suresh S, Wohl ME, Berde CB. Chronic pain in cystic fibrosis. Pediatrics. 1996;98(4 Pt 1):741–747
  15. Dakin C, Henry RL, Field P, Morton J. Defining an exacerbation of pulmonary disease in cystic fibrosis. Pediatr Pulmonol. 2001;31:436–442
  16. Smith JA. Cough frequency and patterns of cough in cystic fibrosis. J R Soc Med. 2006;99(Suppl 46):17–22
  17. Smith JA, Owen EC, Jones AM, et al. Objective measurement of cough during pulmonary exacerbations in adults with cystic fibrosis. Thorax. 2006;61:425–429
  18. Rabin HR, Butler SM, Wohl ME, et al. Pulmonary exacerbations in cystic fibrosis. Pediatr Pulmonol. 2004;37:400–406
  19. Hamutcu R, Francis J, Karakoc F, Bush A. Objective monitoring of cough in children with cystic fibrosis. Pediatr Pulmonol. 2002;34(5):331–335
  20. Raj AA, Birring SS. Clinical assessment of chronic cough severity. Pulm Pharmacol Ther. 2007;20:334–337
  21. Chung KF. Measurement of cough. Respir Physiol Neurobiol. 2006;31:236–442
  22. Irwin RS, Baumann MH, Bolser DC, et al. Diagnosis and management of cough executive summary: ACCP evidence-based clinical practice guidelines. Chest. 2006;129(1 Suppl):1S–23S
  23. Amin R, Bean J, Burklow K, Jeffries J. The relationship between sleep disturbance and pulmonary function in stable pediatric cystic fibrosis patients. Chest. 2005;128:1357–1363
  24. Milross MA, Piper AJ, Dobbin CJ, Bye PT, Grunstein RR. Sleep disordered breathing in cystic fibrosis. Sleep Med Rev. 2004;8:295–308

 Financial assistance for the research was provided by the Nova Scotia Lung Association, with additional support from an IWK Health Centre Summer Research Studentship, which had matching funds contributed by the IWK Pediatric Palliative Care Program. These funding sources had no role in study design, data collection, analysis, interpretation of results, in writing the report, or in the decision to submit the article for publication. The corresponding author had full access to all the data and had final responsibility for the decision to submit for publication.

 S.J.S., A.H., G.F., and W.M.R. have no conflict of interest. M.-C.G. is supported by an IWK Board of Directors and a CIHR Fellowship, and has no conflict of interest. P.J.M. is supported by a Canada Research Chair and has no conflict of interest.

PII: S0885-3924(09)00747-7

doi: 10.1016/j.jpainsymman.2009.04.029

Journal of Pain and Symptom Management
Volume 38, Issue 6 , Pages 837-848 , December 2009

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