PerioperativePediatric PainManagement
MostafaAbdAllahMostafa;
Abstract
Acutepainisoneofthemostcommonadversestimuliexperiencedbypediatricpopulationasaresultofsurgery,illness,anyinjuryandnecessarymedicalprocedure.Painisassociatedwithincreasedanxiety,avoidance,somaticsymptoms,andincreasedparentdistressandmay leadtolongtermeffects.
Severalexpertssuggestthattheneonate’sexpressionofpaindoesnotfitwithinthestrictdefinitionoftheInternationalAssociationforStudyofPainbecauseoftherequirementforself-report.Thislackofabilitytoreportpaincontributestothefailuretorecognizeandtreatpainaggressivelyduringinfancyandearlychildhood.
Becauseneonatescannotverbalizetheirpain,theydependonotherstorecognize,assess,andmanagetheirpain.Therefore,healthcareprofessionalscandiagnoseneonatalpainonlybyrecognizingtheneonate’sassociatedbehavioralandphysiologicalresponses.
Recognitionandassessmentofpainisthefirstandmostimportantstepinsuccessfulpainmanagement.Painshouldbeassessedonaregularbasisusingself-report,behavioralobservationandphysiologicmeasures,bearinginmindtheageofthechildandhisorhercommunicationcapabilities.Therearemanydifferentscalesthatcanbeusedindifferentagegroups.Itisofimportancetouseascalethatisfeasibleintheclinicalsetting.
Painhasbeenclassifiedintotwodifferentmajortypes fast painandslowpainandtransmissionofpainoccursthroughdifferentneurotransmitters.
Severalexpertssuggestthattheneonate’sexpressionofpaindoesnotfitwithinthestrictdefinitionoftheInternationalAssociationforStudyofPainbecauseoftherequirementforself-report.Thislackofabilitytoreportpaincontributestothefailuretorecognizeandtreatpainaggressivelyduringinfancyandearlychildhood.
Becauseneonatescannotverbalizetheirpain,theydependonotherstorecognize,assess,andmanagetheirpain.Therefore,healthcareprofessionalscandiagnoseneonatalpainonlybyrecognizingtheneonate’sassociatedbehavioralandphysiologicalresponses.
Recognitionandassessmentofpainisthefirstandmostimportantstepinsuccessfulpainmanagement.Painshouldbeassessedonaregularbasisusingself-report,behavioralobservationandphysiologicmeasures,bearinginmindtheageofthechildandhisorhercommunicationcapabilities.Therearemanydifferentscalesthatcanbeusedindifferentagegroups.Itisofimportancetouseascalethatisfeasibleintheclinicalsetting.
Painhasbeenclassifiedintotwodifferentmajortypes fast painandslowpainandtransmissionofpainoccursthroughdifferentneurotransmitters.
Other data
| Title | PerioperativePediatric PainManagement | Other Titles | التحكمفياأللمعنداألطفالفيالفترةالمحيطةبالجراحة | Authors | MostafaAbdAllahMostafa | Issue Date | 2016 |
Attached Files
| File | Size | Format | |
|---|---|---|---|
| G13008.pdf | 1.24 MB | Adobe PDF | View/Open |
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