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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
The social context of neonatal pain
Patrick J McGrath1, Anita M Unruh
1Department of Psychology, Life Sciences Centre, Dalhousie University, Halifax, NS B3H 4J1, Canada.
Insights
Neonatal pain management has improved due to research and advocacy, but procedural pain and pain in cognitively impaired infants remain challenges. Further research into the social context of neonatal pain is needed.
Area of Science:
- Neonatal care
- Pain management
- Social sciences
Background:
- Neonatal pain is increasingly recognized as a significant issue.
- Pain management practices in neonates have evolved over the past two decades.
- Advocacy, particularly by parents, has driven changes in neonatal pain care.
Purpose of the Study:
- To review advancements in neonatal pain management.
- To identify persistent challenges in neonatal pain care.
- To highlight the lack of research on the social context of neonatal pain.
Main Methods:
- Literature review of changes in neonatal pain management over 20 years.
- Analysis of factors influencing changes in practice.
- Identification of areas requiring further research.
Main Results:
- Significant improvements in the standard of care for neonatal pain have been observed.
- Procedural pain in neonates remains a persistent issue.
- Pain management for cognitively impaired neonates has not been adequately addressed.
- Research investigating the social context of neonatal pain is notably absent.
Conclusions:
- While neonatal pain management has advanced, critical areas require further attention.
- Addressing procedural pain and pain in vulnerable neonates is essential.
- Future research should explore the influence of the social context on neonatal pain and its management.
Abstract:
Neonatal pain and neonatal pain management occurs in a social context and is influenced by this context. Changes in the practice of pain management have clearly occurred over the last 20 years. Changes have occurred because of the confluence of scientific research and lobbying, primarily by parents. Although the standard of care for neonatal pain has risen dramatically in the past 20 years, much remains to be done. Procedure pain appears to be a continuing issue, and pain in the cognitively handicapped neonate has not been addressed. Research on the social context of pain is almost entirely lacking.
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