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Pain management in children: developmental considerations and mind-body therapies
1Pediatrics and Family Medicine, University of Texas Medical Branch, Galveston, TX 77555-0340, USA. sgerik@utmb.edu
Insights
Accurately assessing and treating pediatric pain is crucial. This review explores pain management in children, integrating mind-body therapies for common pain types.
Area of Science:
- Pediatric Pain Management
- Clinical Assessment
- Mind-Body Therapies
Background:
- Pain is frequently misunderstood, underdiagnosed, and undertreated in children.
- Joint Commission on Accreditation of Healthcare Organizations (JCAHO) regulations designate pain as the "fifth vital sign."
- Effective pain management requires regular assessment and intervention by healthcare providers.
Purpose of the Study:
- To review the clinical assessment of pediatric pain using a developmental model.
- To address common misconceptions influencing pediatric pain management.
- To explore the integration of mind-body therapies for procedure-related pain, headaches, and recurrent abdominal pain in children.
Main Methods:
- Literature review focusing on pediatric pain assessment and management.
- Analysis of developmental models for pain assessment.
- Examination of mind-body therapy integration in pain treatment protocols.
Main Results:
- Developmental considerations are key to accurate pediatric pain assessment.
- Debunking myths can improve pain management strategies.
- Mind-body therapies show promise in managing procedure-related pain, headaches, and abdominal pain.
Conclusions:
- Improved understanding and assessment are vital for effective pediatric pain care.
- Addressing myths and integrating mind-body therapies can enhance treatment outcomes.
- A developmental approach combined with innovative therapies offers a path to better pain relief for children.
Abstract:
One of the most challenging roles of medical providers serving children is to appropriately assess and treat their pain. Pain is one of the most misunderstood, underdiagnosed, and undertreated/ untreated medical problems, particularly in children. New JCAHO regulations regard pain as "the fifth vital sign" and require caregivers to regularly assess and address pain. This review focuses on the clinical assessment of pain, based on a developmental model and addresses common beliefs and myths that affect the management of pain in children. We provide a review of the pain literature that focuses on the integration of mind-body therapies into the management of procedure-related pain, headache, and recurrent abdominal pain in children.
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