Cent Eur J Nurs Midw 2013, 4(3):634-641

The use of assessment tools for assessment of complications in oral cavity in children undergoing chemotherapy

Lucie Sikorová*, Radka Bužgová
Department of Nursing and Midwifery, Faculty of Medicine, University of Ostrava

Aim: The aim is to find out which assessment tool is recommended in the scientific literature as the most suitable for an assessment of complications in the oral cavity in children, from the age of 2 to 18, who undergo chemotherapy and/or radiotherapy.

Methods: Analysis of papers searched in licenced and freely available databases (Medline, Scopus, Proquest Public Health, Ebsco, Cochrane Collaboration) in the period of 1985-2012.

Results: For an assessment of complications in the oral cavity in children undergoing chemotherapy, six suitable assessment tools were identified - Oral Mucositis Daily Questionnaire, Oral Mucositis Assessment Scale, Western Consortium Cancer Nursing Research Staging System for Stomatitis, Oral Assessment Guide, Children's International Mucositis Evaluation Scale a Oral Mucositis Rating Scale. Most of them are a modification of assessment tools for an adult population. One of the newest assessment tool is Children's International Mucositis Evaluation Scale (ChIMES), which has been developed for paediatric patients from the very beginning. At present the scale is being verified in clinical practice. The scale includes a subjective assessment of pain in the mouth, problems with swallowing, limitations at eating and drinking, and an objective lesion assessment. It also includes taking analgesics to releive the pain in the mouth and the throat on the day when an assessment is made. Oral Assessment Guide (OAG) is the most frequently used assessment tool in the studies and is recommended by all authors for the use.

Conclusion: OAG is a suitable assessment tool for a children's population. Its positive features are a possibility to determine a stage o f complications in the oral cavity as well as recommended interventions for individual stages of the damage to the oral cavity. The assessment is suitable for the use by qualified nurses.

Keywords: assessment, tool, child, oral cavity, mucositis, chemotherapy

Published: September 30, 2013  Show citation

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Sikorová L, Bužgová R. The use of assessment tools for assessment of complications in oral cavity in children undergoing chemotherapy. Ošetřovatelství a porodní asistence. 2013;4(3):634-641.
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