According to Twycross, it was found that only "3 out of 10 nurses reported using pain assessment tools", and it was also included that they did not use them routinely. Also, when doing a pain assessment, it was most common for a nurse to use observation most often, and nurses would usually look at the child's behavior and facial expressions (crying, fighting, restlessness, etc.) before administering pain meds, even if the child directly stated being in pain and needing medication. Observation was used most often, and nurses would usually look at the child's behavior and facial expressions (crying, fighting, restlessness, etc.) before administering pain meds, even if the child directly stated being in pain and needing medication. There is also
