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Pain assessment for children: overcoming challenges and optimizing care
Amy L Drendel1, Brian T Kelly, Samina Ali
1Pediatric Emergency Medicine, Children's Hospital of Wisconsin, Medical College of Wisconsin, Milwaukee, WI 53201, USA. adrendel@mcw.edu
Untreated acute pain in children can cause lasting harm. This review explores challenges in pediatric pain assessment and treatment in emergency departments to improve pain management.
Area of Science:
- Pediatric Emergency Medicine
- Pain Management
- Child Psychology
Background:
- Untreated acute pain in children has significant short- and long-term physical, physiological, and psychological consequences.
- Emergency departments frequently encounter pediatric patients presenting with or experiencing pain during care.
- Optimal pain assessment and treatment are critical for this vulnerable population.
Purpose of the Study:
- To review the complexities of pain assessment in pediatric patients within emergency settings.
- To identify factors influencing children's self-report of pain.
- To discuss challenges and goals for optimizing pain management in pediatric emergency care.
Main Methods:
- Literature review focusing on pediatric pain assessment.
- Analysis of factors affecting pain self-reporting in children.
- Discussion of best practices and challenges in emergency pain management.
Main Results:
- Pediatric pain assessment is complex, with numerous influencing factors.
- Children's self-report of pain can be affected by various elements.
- Healthcare providers face challenges in optimizing pain assessment utility in emergency settings.
Conclusions:
- Effective pain management in children requires addressing assessment complexities.
- Improving analgesic administration is key to reducing children's pain experience.
- Further research and strategies are needed to enhance pediatric pain care in emergency departments.
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