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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Pain assessment and intervention for term newborns
Patricia A Clifford1, Marilyn Stringer, Holly Christensen
1The Children's Hospital of Philadelphia, NICU, PA 19104, USA. Clifford@email.chop.edu
Insights
Newborn pain assessment is crucial in the first hours of life. Valid tools and interventions like breastfeeding and sucrose pacifiers help manage infant pain effectively.
Area of Science:
- Neonatal care
- Pain management
- Pediatric nursing
Background:
- Pain assessment is a critical component of newborn health evaluations.
- Newborns undergo numerous procedures that can cause pain, necessitating accurate assessment.
- Effective pain management requires understanding available interventions.
Purpose of the Study:
- To review current newborn pain assessment tools.
- To discuss the importance of validated pain assessment in term newborns.
- To present evidence-based interventions for managing newborn pain.
Main Methods:
- Description of three validated newborn pain assessment tools.
- Evaluation of behavioral and physiological parameters for pain assessment.
- Review of evidence-based pain management interventions.
Main Results:
- Validated assessment tools incorporate both behavioral and physiological indicators.
- Interventions such as breastfeeding, non-nutritive sucking, skin-to-skin contact, and sucrose pacifiers are effective.
- Individualized pain management strategies are essential for optimal newborn care.
Conclusions:
- Routine pain assessment should be integrated into initial newborn health checks.
- Utilizing validated tools ensures accurate pain evaluation in neonates.
- Evidence-based interventions are key to effectively reducing and eliminating newborn pain.
Abstract:
A baseline assessment of pain should occur as part of a newborn's health assessment within the first few hours of life. Validation and assessment of pain in the term newborn is important for providing care because newborns may experience pain from a multitude of procedures, ranging from heel sticks to circumcisions. Current assessment tools evaluate both behavioral and physiologic parameters. In addition, providing individualized care requires a knowledge base of the interventions available to reduce or eliminate pain, such as breastfeeding, non-nutritive suck, skin-to-skin contact, and sucrose pacifiers. This article describes three newborn pain assessment tools, the use of valid assessment tools, and evidence-based interventions that are recommended to effectively manage newborn pain.
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