Pain assessment instruments are readily available and promoted, yet are not incorporated in the daily management of pain in the PICU. Simply giving clinicians these assessment tools does not mean they will use them in their everyday practice or use them correctly. Instead individuals must be given information about the instruments, how to use them, and the importance of their use. Based on this information, clinicians will hopefully decide to adopt and implement these instruments into their practice and then see confirmation that this adoption improved patient care (Scott-Findlay & Estabrooks, 2006). The challenge of knowledge translation needs to be addressed to ensure that the constructs of pain are understood, assessment scales are employed correctly, and pain is consistently treated and reassessed.