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.

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