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Related Concept Videos

Assessment of the Abdomen III: Palpation01:23

Assessment of the Abdomen III: Palpation

Palpation is a crucial tactile examination method for assessing abdominal organs and detecting conditions like tenderness, distention, masses, or fluid. It involves both light and deep palpation techniques, each serving specific diagnostic purposes. Light palpation helps identify tenderness and other surface-level indicators, while deep palpation locates and assess abdominal masses and organ boundaries. A skilled professional can gather valuable insights through palpation, including evaluating...
Assessment of Respiration01:23

Assessment of Respiration

The respiratory system's basic structures and primary functions lay the foundation for nurses' comprehensive respiratory assessments. This assessment includes subjective and objective data to gauge the patient's respiratory health.
Subjective Assessment: Nurses interview the patient to gather information directly during the subjective assessment. It includes questions about the individual's medical history, medications, and symptoms, focusing on past respiratory conditions like asthma or COPD,...
Nursing Assessment of the Genitourinary System III: Percussion and Auscultation01:22

Nursing Assessment of the Genitourinary System III: Percussion and Auscultation

The genitourinary system maintains the body's fluid balance, waste excretion, and overall homeostasis. Proper assessment is essential for early detection of disorders, with percussion and auscultation integral to this evaluation. These methods help identify signs of kidney or bladder issues and provide important diagnostic clues.Percussion for Kidney TendernessPercussion is used to assess tenderness and detect kidney and bladder abnormalities. A common method for determining kidney tenderness...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch01:15

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The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
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Physical Assessment of the Respiratory Tract II: Palpation01:24

Physical Assessment of the Respiratory Tract II: Palpation

Physical assessment of the respiratory tract is critical in identifying potential health issues. One key component of this assessment is palpation, a technique healthcare providers use to assess the body for abnormalities. This content explores the method of palpation in evaluating the respiratory tract, focusing on thoracic palpation and tactile fremitus.
Thoracic Palpation
Thoracic palpation detects tenderness, masses, lesions, respiratory excursions, and vocal fremitus. The nurse assesses...

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Electrophysiological Measurements and Analysis of Nociception in Human Infants
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[Problems for assessing the newborns' pain in palliative care].

P Kuhn1, C Strub, D Astruc

  • 1Médecine et Réanimation Néonatale, Service de Pédiatrie 2, Pôle Médico-Chirurgical Pédiatrique, CHU, Hôpital de Hautepierre, 28, avenue Molière, 67098 Strasbourg cedex, France. pierre.kuhn@chru-strasbourg.fr

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|August 24, 2010
PubMed
Summary

Assessing pain in newborns, especially those at end-of-life, is challenging. Validated tools are needed for neonatal palliative care, considering factors like neurological development and parental distress.

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Published on: November 29, 2017

Area of Science:

  • Neonatal pain assessment
  • Pediatric palliative care
  • Neurodevelopmental disorders

Context:

  • Assessing pain in preverbal neonates presents significant challenges for healthcare teams.
  • Existing pain scales lack validation for end-of-life neonates, a particularly vulnerable population.
  • Difficulties include scale limitations, altered responses in immature or neurologically impaired infants, and poorly understood painful situations in palliative care.

Purpose:

  • To review the challenges and limitations of current neonatal pain assessment tools.
  • To identify appropriate pain assessment scales for neonates, particularly in palliative care settings.
  • To highlight the need for validated tools and improved assessment of parental distress.

Summary:

  • Neonates, even extremely immature ones, perceive pain cortically and exhibit pain behaviors, even with neurological impairment.
  • Data on pain in situations like dyspnea or hunger are scarce for neonates.
  • Recommended scales include prolonged pain measures (EDIN, COMFORT Behaviour) and acute pain measures (DAN, NFCS), prioritizing staff training and ease of use.

Impact:

  • Informs the selection of appropriate pain assessment tools for neonates, especially in palliative care.
  • Highlights the need for further research and validation of assessment tools in specific neonatal populations.
  • Emphasizes the importance of considering parental perception and distress in neonatal care.