News
News Home
Quick Bites
Exploradio
News Archive
News Channel
Special Features
NPR
nowplaying
On AirNewsClassical
Loading...
  
School Closings
WKSU Support
Funding for WKSU is made possible in part through support from the following businesses and organizations.

NOCHE

Hospice of the Western Reserve

Greater Akron Chamber


For more information on how your company or organization can support WKSU, download the WKSU Media Kit.

(WKSU Media Kit PDF icon )


Donate Your Vehicle to WKSU

Programs Schedule Make A Pledge Member BenefitsFAQ/HelpContact Us
Health and Medicine




Exploradio - Where does it hurt?
A veteran nurse discovers that her experience as a mother of an autistic child helps her care for children unable to speak because of surgery
by WKSU's JEFF ST. CLAIR
This story is part of a special series.


Reporter / Host
Jeff St. Clair
 
Picture communication uses images to help patients identify areas of discomfort or pain. The system at Akron Children's Hospital was developed by veteran nurse turned researcher Phyllis Mesko.
Courtesy of Phyllis Mesko
Download (WKSU Only)
In The Region:

Scientific research is a process of discovery and refinement, and for a nurse at Akron Children’s Hospital, research reveals a better way to care for children in pain.   

In this week’s Exploradio -  we meet a veteran nurse turned researcher who uses pictures when words fail.

Exploradio - Where does it hurt?

Other options:
Windows Media / MP3 Download (3:56)


(Click image for larger view.)


Point to the pain
Phyllis Mesko has worked the recovery floor at Akron Children’s Hospital for 41 years.  She has the reassuring calm of a seasoned caregiver who’s asked thousands of children the same question.

“Where does it hurt?”

But she doesn’t listen for an answer.  She watches.  

Mesko holds a sheet of paper.  On it, vivid lightning bolts shoot out from body parts.The drawings depict pain in the neck, the belly, back, or head. 

Mesko asks the child to point to the location of pain in the picture.

A mother's innovation
Using pictures to communicate is something Mesko came up with not in the recovery room but at home with her son, Mark.  He was born with autism.   

Mark learned to talk. Then, around the age of 6, he stopped using words. Instead, he developed a different way to communicate.

“He would go through magazines, he would go through catalogues. If he wanted to go somewhere to eat, he’d find you a menu to show you what he wanted.  You really did know what he wanted. If he wanted to go to a store he would go through the ads in the Sunday paper and get the scissors and cut them out and hand them to you.”

Now in his late 20’s, Mesko’s son relies exclusively on visual communication.  For explaining situations beyond a single image, like a trip to the hospital, Mesko creates what she calls ‘social stories’.   

“And I had a picture communication of a blood pressure, of a scale, of anything that I knew would happen to him.  So as a nurse I knew what to expect, and as the mother, I knew what I needed to teach him.”

Picture communication at Children's
Mesko realized that what worked for her son may help children rendered temporarily non-verbal in the hospital, like those recovering from tonsillectomies.  She brought her idea of  picture communication to Akron Children’s and started asking patients who couldn’t or wouldn’t speak to point to a picture of where it hurts.

Then Mesko was offered a chance to take the idea further.

Aris Eliades is director of nursing research at Akron Children’s.  She invited Mesko to be the hospital’s first nurse scholar -- a program in which nurses are awarded a grant, and time, to do research.  Eliades saw a need for data.  She says while pain intensity is well studied, there is huge gap in the research literature looking at pain location.

Mesko then made the transition from caregiver to researcher.  She studied responses from children recovering from tonsillectomies and unable to speak, using her picture sheets.

Eliades says the study showed that ‘where it hurts’ is often not where they expected.

“The nurse would attribute it to the surgical site and the patient would say it’s something else, totally something else.”

Research reveals source of pain
Nurse Mesko discovered kids were uncomfortable for a variety of reasons.

“Maybe they didn’t like that little clip on their finger, maybe the IV board was too tight, or a piece of plastic on it. Maybe they just didn’t like having an IV; maybe they were just hungry, or they wanted their parents.”

Picture communication resulted in fewer painkillers given to kids after surgery, and higher patient satisfaction.

And after more than four decades as a nurse, being a researcher gave new life to Phyllis Mesko’s career.  

“I very much enjoy my job in recovery room, but this has taken me to a totally new level.”

Mesko presented her results this month at a national nurses’ conference in Seattle.  Her work will be published in the journal of PeriAnethesia Nursing.  She’s planning a larger study of picture communication for children recovering from a range of surgeries.  She says pointing to a picture of where it hurts could someday become standard practice.  

I’m jstc with this week’s Exploradio.

Listener Comments:

I am a home health nurse and I think this is wonderful. I have used pictures to communicate with my littlest patients that can't or won't speak. It works pretty well. It allows us to meet their needs more quickly and avoids frustration for all involved.
I love that this nurse was given the opportunity to research this to help the children.


Posted by: Kelly (Curious christi texas) on May 2, 2012 5:05AM
Add Your Comment
Name:

Location:

E-mail: (not published, only used to contact you about your comment)


Comments:




 
Page Options

Print this page

E-Mail this page / Send mp3

Share on Facebook



Support for Exploradio
provided by:








Stories with Recent Comments

Ohio survey shows low-income people are choosing phones over food
Where is this study published? no sign of it on google scholar. is there a cite

The Akron Sound rocks the porches
fabulous group interview! you covered so much in so little time. wish i could be there for porch rockr.

Head of Ohio Dems says Kasich administration is lying about Suarez contacts
when Kasich's mouth is open , he's lying. Look what he did at Lehmans brothers and then lied about it all during the campaign. If a GOP didn't lie, he or she ...

Canton's Basilica of St. John absorbs news of the pope at morning Mass
Hello Chris,Marina,and Patrice, I just read this article and you all look great. I'm on facebook Jean Dutcher in blue and white stripped blouse. I"M so glad to ...

Exploradio: Avoiding the 'acting-white' trap
Growing-up black and being black should not determine that you will not speak well or will not be a high achiever in your goals in life.But society te nds to la...

Charter-school supporters to rally at Statehouse
I am on the bus now headed to the rally. Horizon is an excellent school. My son is is 7 th grade. The teachers and administrators are top notch and spend so m...

Former Nursing Home Land Added to Parks
In addition, LED technology also plays a very important role in advertising- LED placard is very, very useful for shop owners.

Ohio Supreme Court hears arguments on school funding
That's not true. Other school districts HAVE followed this law and done this. Oakhills is one of them and how they were able to provide technology for their s...

Death and beauty at Cleveland's Museum of Contemporary Art
What a disgusting story to air at lunch time.

Ohio Supreme Court grills attorneys on flooding and million-dollar fixes
Perhaps the State of Ohio should take the lead and implement state wide water shed districts that would collect minimum fees. The funds could then be distribute...

Copyright © 2014 WKSU Public Radio, All Rights Reserved.

 
In Partnership With:

NPR PRI Kent State University

listen in windows media format listen in realplayer format Car Talk Hosts: Tom & Ray Magliozzi Fresh Air Host: Terry Gross A Service of Kent State University 89.7 WKSU | NPR.Classical.Other smart stuff. NPR Senior Correspondent: Noah Adams Living on Earth Host: Steve Curwood 89.7 WKSU | NPR.Classical.Other smart stuff. A Service of Kent State University