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A Preterm Rat Model for Pain Studies
Published on: February 9, 2024
Pediatric procedural pain
1David Geffen School of Medicine at University of California-Los Angeles, Los Angeles, CA, USA. kyoung@emedharbor.edu
Insights
Early pain experiences in children significantly shape future pain responses. Inadequate pain relief during childhood medical procedures can lead to long-term negative effects on pain tolerance and perception.
Area of Science:
- Pediatric medicine
- Pain management
- Developmental psychology
Background:
- Pain perception is subjective and influenced by individual learning and experiences.
- Childhood is marked by numerous painful medical procedures, including immunizations, dental care, and emergency treatments.
- Early exposure to pain can critically shape an individual's long-term pain responses.
Purpose of the Study:
- To review evidence on the long-term consequences of inadequately treated procedural pain in children.
- To explore factors influencing an individual's pain response.
- To present tools for assessing pain in pediatric populations and discuss interventions for managing procedural pain and distress.
Main Methods:
- Literature review of studies on pediatric procedural pain.
- Analysis of factors contributing to individual pain variability.
- Examination of pain assessment tools and pain management strategies.
Main Results:
- Inadequately managed procedural pain in childhood is linked to lasting negative impacts on pain tolerance and response.
- Social learning and prior experiences are key determinants of an individual's pain response.
- Effective pain management strategies are crucial for mitigating potential long-term adverse effects.
Conclusions:
- Early and adequate management of procedural pain in children is vital to prevent long-term negative consequences.
- Understanding the determinants of pain response and utilizing appropriate assessment tools are essential for effective pediatric pain management.
- Further research is needed to develop and refine interventions for pediatric procedural pain.
Abstract:
Pain is subjective. The pain response is individual and is learned through social learning and experience. Early pain experiences may play a particularly important role in shaping an individual's pain responses. Painful medical procedures such as immunizations, venipunctures and dental care, and minor emergency department procedures such as laceration repair, compose a significant portion of the average child's experience with painful events. Inadequate relief of pain and distress during childhood painful medical procedures may have long-term negative effects on future pain tolerance and pain responses. This article reviews the evidence for long-term negative effects of inadequately treated procedural pain, the determinants of an individual's pain response, tools to assess pain in children, and interventions to reduce procedural pain and distress. Future research directions and a model for conceptualizing and studying pediatric procedural pain are proposed.
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