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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
Insights
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.
Abstract:
There is growing evidence that children have short- and long-term physical, physiological, and psychological effects due to untreated acute pain. Because the majority of children who seek care in an emergency department present with pain or experience pain during the evaluation and treatment in the emergency department, optimal assessment and treatment of pain are paramount for this population. This review will highlight the many complexities of the assessment of pain for the pediatric patient. In addition, a variety of factors that affect the self-report of pain in children will be identified. Optimizing the utility of a pain assessment remains a challenge for the health care provider in the emergency setting. The common goal of a decreased experience of pain for children through improved analgesic administration remains.
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