M.Cur. / An explanatory, descriptive method was undertaken to determine the effect of cognitive-sensory guidance on the pain experience of the child with bums during wound management procedures. The Nursing Theory of Wholeness was used as a premise for this study. The internal and external environments of the child were investigated. This was done by determining the pain perception (by using the Oucher!-scale) and the pain behaviour (by using the CHEOP-scale) respectively. The internal and external environments stand in interaction with each other and reflect within a specific physical, social and spiritual context the child's body, mind and spirit. These interactive patterns will be applied within the scientific and systematic framework of the nursing process. Prior to the study, attention was given to ethical issues such as acquiring permission and prevention of damage to the respondents. From the investigation of these three case studies the conclusion can be made that cognitive-sensory guidance could possibly be effective in reducing the pain experience of the child with bums during wound management procedures. Generalisation cannot be done due to the small sample size. This study only serves as background for future research and hypothesis formulation

M.Cur. (Intensive General Nursing) / From the professional ethical perspective the professional nurse is responsible for the treatment and nursing of a patient in acute pain by effectively handling pain in the first 48 hours post-operative following serious surgery. The professional nurse can treat patients optimally only if she has the necessary knowledge and skills with regard to the different methods of handling pain. By making effective handling of pain available to the patient, including the advantages and disadvantages, the professional nurse contributes to maintaining, promoting and restoring health. In this way she facilitates the patient in reaching his objective of obtaining wholeness and she obtains her objective of quality nursing. The aim of this study is to determine which method of handling pain, namely the intermittent bolus dose analgesics and patient controlled analgesics, offers the most advantages to the patient and the professional nurse. A quantitative, contextually descriptive research design was followed in which a survey method and a retrospective analysis of nursing and medical records were completed in order to determine the total amount of analgesic used and to investigate the haemodynamic stability while using analgesics. An analysis was done of the information collected by means of a structured pain control list. Results indicate that those patients using patient controlled analgesics use larger doses of analgesics and are haemodynamically more stable while using analgesics than those patients using the method of intermittent bolus dose analgesics. Following on the conclusion, nursing guidelines were established for nursing practice and recommendations were made for nursing practice, nursing education and further research.