Needle pain in children: contextual factors

Gary A Walco1

  • 1Department of Pediatrics, Hackensack University Medical Center, 30 Prospect Ave, Hackensack, NJ 07601, USA. gwalco@humed.com

Pediatrics
|November 5, 2008
PubMed

Insights

Pediatric pain is complex, influenced by genetics, experiences, and development. Understanding these factors is key to improving interventions for painful procedures in children.

Area of Science:

  • Pediatric pain research
  • Pain management in children
  • Developmental psychology

Background:

  • Pediatric pain is a multifactorial phenomenon.
  • Needle-stick procedures are common sources of acute pain in children.
  • Understanding the interplay of factors influencing pediatric pain is crucial for effective management.

Purpose of the Study:

  • To explore the genetic, experiential, and developmental factors contributing to pediatric pain.
  • To examine these factors in the context of needle-stick procedures and other painful events.
  • To inform the development and application of pediatric pain interventions.

Main Methods:

  • Literature review and synthesis of existing research on pediatric pain.
  • Analysis of genetic, experiential, and developmental influences on pain perception.
  • Discussion of clinical implications and ethical considerations.

Main Results:

  • Pediatric pain is shaped by a complex interaction of biological, psychological, and social factors.
  • Developmental stage significantly modulates pain responses in children.
  • Experiential factors, including prior pain exposure, influence current pain perception.

Conclusions:

  • A comprehensive understanding of pediatric pain requires considering genetic, experiential, and developmental elements.
  • Interventions for needle-stick procedures and other painful stimuli should be tailored to the individual child's context.
  • Ethical considerations are paramount in managing pediatric pain and implementing interventions.

Related Concept Videos

Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Nociception01:44

Nociception

Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain. Thus, pain helps the...
Temperature Measurement Sites01:14

Temperature Measurement Sites

A thermometer measures body temperature. The common sites for measuring body temperature are the oral cavity, axillary region, temporal artery, and skin surface, such as the forehead, abdomen, and axilla. True core body temperature is assessed in the rectum, tympanic membrane, pulmonary artery, esophagus, and urinary bladder.
Oral: When assessing oral temperature, the thermometer tip should be placed under the tongue in the posterior sublingual pocket. It offers accurate readings and can be...
Pain01:20

Pain

Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
Special considerations while measuring pulse01:13

Special considerations while measuring pulse

Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...