atwe indicates that eritlcaiiy lil children receive eignificantPy leas btiges~~: therapy than adults with comparable Pi-~blems. The assessment of pain in alert 1nEant.s rcaaina an area requiring extenwe investi(2ation. A variety of infant responses, such as heiel response. motor response, and physiological response. are currently bei ;ned as indicator8 of pain. Critical illness in inhnts typically involves a depraasion of level of comseiousneas. This adteratlanas frequently attributable to the ~~~~~s~r~tie~ or aedrtiva mcdrcationa. A depressed level of consciousness auppresaes rmst of the k@hsv- lord responses suspected as indicators of pain m infants. A quelltativa method ~8s used to examine the Yays nurses dssesaeo aaid managed pain in i&ants in s pediatric intensive ewe unit. A purpeslve sample of rive nursea. with a broad renge of profe33iot1al back- grounds, was recruited TOP the study. Nurses acre lntervieued and asked to dsscribs the “rye they assessed and managed pain in a current infant patlent. All interviews w-e Eape- ,warded and tronacrlbed. Dote annlysia IS eurrrnrly in progress. Thewtlc analysis of lntarvlew transcripts !3 bsrng utilized to ident.aCy themes related to the nuivse’s process of as~eea~ent and ~an~~~rn~~~r. of p&n. Janls and ~II~‘S decision-naking model is be@ used NJ 8 conceptual framework for thla anillyeio. A retrospective enaminatlon ot pain tuwnqe- ment Inte:*v%ntiana L1OcmeOt0d f.w the p&tient cars evlsodw &wxwe)d in the lntwvlews

Tw%nty Patients ag%d B - 17 yenrs were seen for the non-pharmacologIca treatment of ronslon end migraine heedaches A1 I chb idhen wure rhxrad by tioe ~~~ral~~y Departm%nt of 5.6. Chlldrea’e Hospital (Vancouver) aftsr full-nsu glcri work-up. All had nom-slgnlflcent CRT 3cbn3, perslrPtent head B antl u%re non-responsive to pharmacological Interventions. an0 inof Were

L. Kuttner

imtlvatid to seek el ternatlve treatments.

‘RIG Chllorei) and adolcsanrs were parentst ror three to ten oesaton8. self-hypncsls by ut31ng a~ audio-tape tailored to eat

tfxx and Interasts. Instructions lnclu

letlnp 1 dally dlarv Wtlng f3r cXamPl

level, duo”aebon+ and crrtlvltler.

GeneralLy wtthln three ees%lon!J n aignlflcant reported a marked decree%* in tltehfflty and Ire those that Qld not rc@?cM withln t

of the chIldfen’% headaches were relieved while m5iatalnlnB PatIe dlgnlty.