Srinagarind Hospital has about 150-200 cases of patients with cleft lip and cleft palate each year. The operating
process requires continuity of care involving a multidisciplinary team. When the patients go to hospital to undergo operation,
pain is one of the most important symptoms to try and control effectively. During pre and post operative care nurses who work
continuously and closely with the patients are the best persons to assist with pain relief. They need to have knowledge,
experience and ability to take excellent care about pain control as well as having to have continuing assessment and selection
of pain measurement tool. They can then better help to relieve patients pain, decrease parents stress and encourage better co-operation.