Pediatric Acute Pain Management

Great Essays
Pediatric acute pain management it one of the top priorities in pediatric nursing. It is one of the top reasons to seek medical care. Acute pain refers to pain that is not long-lasting. This could be from a medical procedure, injury, illness, or simple operation. Depending on what causes the pain it could last from a few seconds to a few weeks. The use of a combination of both pharmacological and non-pharmacological pain interventions can improve pain control in the pediatric patient. According to HCUP Nationwide Emergency Department Sample almost 129 million visits to the emergency department in 2009, children ages 0-17 years accounted for 28 million or 22% of visits. These visits to the emergency department and the anticipation of the …show more content…
It will also help children associate future interactions with the medical world with a positive and non-threatening view. Pain management with pharmacological is usually a topical anesthetic cream or gel. This topical anesthetic cream or gel helps to numb the area that it applied to, but the time it takes to absorbed is 30-60 minutes for it to work. Non-pharmacological methods used are often distraction that include: cold therapy, vibration, books, music, movies, cards, and kaleidoscope. It is important for nursing to effectively assess pain in the pediatric patient and treat according to policies and procedures set forth in the facility. Therefore, this review of literature will explore current research on if the combination of both pharmacological and non-pharmacological pain interventions are more effective than just pharmacological pain methods alone on acute pain in pediatric patients. CINAHL (Cumulative Index to Nursing and Allied Health Literature), PubMed, and the Cochrane database were searched. Key words used for the search included: nonpharmacological pain management, distraction, anxiety, pediatric pain, acute pain, and pediatric pain …show more content…
Pain is subjective. It is whatever the person says it is and when it is happening. As a nurse you must be aware of the different assessment tools available and how to use them correctly. Self-reporting is the best method for pain assessment, however, most pediatric patients can barely talk, let alone inform their nurse of pain. So behavioral and physiological observation is very important to the pediatric nurse. Physiological indicators of acute pain include an increase in respiration, heart rate, and blood pressure. Children are irritable and restless when they are in pain. They may also just go to sleep. If the child is of age and can tell you they don’t feel good and how bad it hurts, self-reporting is the best method to use. Asking the younger pediatric patient to point to where it hurts and how it feels. If the child is less likely to talk with the nurse, ask the patient or caregiver. The pediatric patient parent or caregiver is a great resource in letting the nurse know if this is that child’s normal response to pain or what the child has complained about at home. Inadequate pain management has been shown to affect patient outcomes by potentially increasing hospital length of stay and delaying recovery (Schechter, Berde, and Yaster, 2003). Most acute pediatric pain comes from common childhood illnesses. The goal is to recognize where the pain is, how it is affecting the child, and to

Related Documents

  • Improved Essays

    Layla Micheli Monica Malt LVN 121 11/17/2017 What were the Contributing Factors to the problems in this Case? Describe them by category below. Equipment (design, availability and maintenance) The Pyxis machine is designed to calculate patient medications and doses accurately and should have alerted the nurse when the dosage was too high for a pediatric patient.…

    • 1228 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    With the onset of cold and flu season comes fevers, coughs, sore throats, upset stomachs and the list goes on. Most concerning is when ailments occur at night or on the weekend and fall outside of normal physician office hours. How can you know what warrants a trip to a pediatric urgent care, an Emergency Room or what can possibly wait until Monday when your physician's office resumes regular office hours? There are many gray areas that require the discretion or gut feeling of the parent, but some situations warrant a trip to an Urgent Care that specializes in Pediatrics or even a trip to the Emergency Room.…

    • 478 Words
    • 2 Pages
    Improved Essays
  • Decent Essays

    When would you recommend Ibuprofen instead of Acetaminophen? When pain is associated with inflammation, Ibuprofen is preferred instead of Acetaminophen. □ Facts & Comparisons □ Lexi-Comp □ Micromedex □ Clinical Pharmacology □ Package Insert 9 Willie Bawarski, Rph What is the dosage Tylenol for a 44 lb (20 kg) child? Dose of Tylenol for child weighing 20kg will be 240 mg. □ Facts & Comparisons…

    • 579 Words
    • 3 Pages
    Decent Essays
  • Improved Essays

    A study by Ramsay (2000) suggests that inadequate management of pain could increase the morbidity as well as mortality rate. Patient Controlled Analgesia (PCA) is typically provided to a patient who is…

    • 847 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Compare and contrast the effectiveness of identified nursing interventions for assigned patient and peers’ patient. Also, include your reasoning for this evaluation. Nursing Intervention to evaluate client’s response to pain: note cultural and developmental influences affecting pain response. Verbal and behavioral cues may have no direct relationship to the degree of pain…

    • 457 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    The nurse is a key individual in the assessment, administration and education of interventions, and the evaluation of the impact of interventions on an individual patient. Nurses make significant contributions to facilitate communication and decision-making in the pain management of patients (Pellino et. al, 2005). Therefore, having a key understanding of both pharmacological and nonpharmacological interventions is an essential for positive pain management.…

    • 620 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    During my time in clinicals on a pediatric floor, I have participated in the discharge of patients and their parents. Pain management and comfort were two of the few topics that parents expressed concern about after discharge teaching. While the nurse attempted to address these issues, it felt as though the parents left the hospital without full confidence in how to manage their child’s pain. It became clear that parents needed further, specific discharge education on pain management when their children were prescribed at-home analgesics.…

    • 943 Words
    • 4 Pages
    Improved Essays
  • Decent Essays

    This week in clinical, I met SON’s competency 2.1 uses appropriate interview techniques in assessment. My patient was less than 24 hrs postpartum after having a vaginal delivery with forceps. She stated a pain level over 6 and received medication earlier in the day. My classmate and I then asked her what her pain level was a few hours after her first dose of pain medication. She stated her pain level did not change much and it was still over a 6.…

    • 205 Words
    • 1 Pages
    Decent Essays
  • Improved Essays

    They should be more stringent on how frequently they give them out. It can be suggested to take Ibuprofen or Tylenol to help reduce pain. There are many types of pain management alternatives, they include physical therapy, acupuncture, therapy and stress reducing techniques. Physical therapy can help with acute and chronic pain. It involves many different types of pain management methods, massage, manipulation of joints and bones (chiropractic manipulation), manual therapy using hands or tools on soft tissue, cold laser therapy (alleviates inflammation, pain and releases endorphins), micro-current stimulation (increases serotonin and dopamine to alleviate pain naturally), movement therapy and exercise.…

    • 426 Words
    • 2 Pages
    Improved Essays
  • Superior Essays

    Nurses play a crucial role in the management of pain by incorporating screening techniques into their practice. Additionally the assessment for the presence or risk for pain is a task student nurses are capable of, and should be encouraged to participate in (RNAO 2013). Additionally comprehensive pain assessments are related to an increase in the satisfaction of pain management which is correlated to the patient experiencing a better sleep, lower levels of anxiety, increased physical mobilization and mood (Mackintosh, 2007; RNAO, 2013). Nonetheless education is imperative to the compliance of a nurse to any guideline, ensuring that continuing education is a priority ensures the nurse is participating according to the best practice guidelines (RNAO,…

    • 1400 Words
    • 6 Pages
    Superior Essays
  • Improved Essays

    How do the parts of the theory relate to each other? Does the theory “make sense” to you before you begin applying it to any specific client situation? This theory revolves around the concept of balance between the use of analgesics and their side effects for adult patients with moderate to severe pain (Good, 1998). It outlines the role of the nurse in administering pharmacological pain relief as well as non-pharmacological pain relief methods.…

    • 797 Words
    • 4 Pages
    Improved Essays
  • Superior Essays

    Pediatric Palliative Care

    • 1729 Words
    • 7 Pages

    In view of all the benefits to pediatric palliative care, there are still numerous barriers to get over to deliver the best care possible. The clinical, operational, and the financial worlds in healthcare all have opposing goals and principles that , make it difficult to provide pediatric palliative care. Nurses should continue to do further research on these areas to find the best methods to overcomes conflicting ideals in these areas of healthcare. Overall, nursing in pediatric palliative care strive to provide outstanding care, by doing this they ensure that quality is added to the child’s…

    • 1729 Words
    • 7 Pages
    Superior Essays
  • Superior Essays

    INTRODUCTION Pain is a universal experience; to which we all have different levels of tolerance. However; we can recognise its’ effect; and can alleviate these symptoms with appropriate treatment and accessing health care services. The symptoms of pain can only be defined by the individual, thus making assessment and treatment complicated (MCCaffery,1968). BACKGROUND James is an 87 year old gentleman with a diagnosis of Alzheimer’s; living in a residential care-home (RCH).…

    • 964 Words
    • 4 Pages
    Superior Essays
  • Improved Essays

    Growing Pains Definition

    • 432 Words
    • 2 Pages

    The next time I hear someone say their kid has growing pains, I will laugh. I learned that most doctors agree that growing up does not hurt and or cause a child to suffer any pain at all. But they also agreed that a certain percent of kids from age two to twelve do complain about pain…

    • 432 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Almost everyone feels anxious when it comes to visiting a dentist. Kids are no exceptions. Children too feel apprehension when it comes to dental visits. Once dental anxiety sets in, it is difficult to get rid of it. Fortunately, pediatric dentists are here to help.…

    • 514 Words
    • 3 Pages
    Improved Essays