A developmental perspective on psychological principles of burn care

The treatment of pediatric burn patients requires careful attention to psychological principles underlying good pain management. These principles, and a variety of specific psychological treatments, have been described thoroughly. In this article the cognitive capabilities, emotional understanding, and behavioral competencies that characterize children at various stages of development are outlined. Important age-related developmental issues are noted, and the child's experience of a burn injury at different ages is outlined. Guidelines for interventions tailored to the developmental capacities and frailties of children in different age groups are offered. Various psychological coping techniques are understood in light of their likely value for pain management with a developmental framework in mind.