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Pain management in children

A Goldman1, A R Lloyd-Thomas

  • 1Hospital for Sick Children, London.

British Medical Bulletin
|July 1, 1991
PubMed

Insights

Recent advances offer improved pain management for children, addressing both physical and psychological needs. Integrated approaches combining medication, physical, and psychological therapies are key to effective childhood pain control.

Area of Science:

  • Pediatric pain management
  • Child psychology and pain
  • Pain assessment in pediatrics

Background:

  • Growing interest in pediatric pain management.
  • Availability of diverse pain assessment techniques for children.
  • Need for comprehensive pain management plans considering physical and psychological factors.

Purpose of the Study:

  • To review current approaches to childhood pain assessment and management.
  • To highlight the importance of integrated therapeutic strategies.
  • To address under-addressed areas like neonatal and postoperative pain.

Main Methods:

  • Review of existing literature on pediatric pain management.
  • Discussion of pharmacological and non-pharmacological interventions.
  • Emphasis on developmental appropriateness of assessment and treatment.

Main Results:

  • Multiple techniques exist for assessing childhood pain across developmental levels.
  • Pharmacological treatments are crucial for pain with clear physiological causes.
  • Reluctance to use strong analgesics in children persists due to inexperience and myths.

Conclusions:

  • Effective pain management requires addressing both physical and psychological aspects.
  • Integrated programs combining drugs, physical, and psychological approaches significantly improve outcomes.
  • Increased staff sensitivity and addressing neglected areas like neonatal pain are vital.

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