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Related Experiment Videos

CE: Assessing a Child's Pain.

Debra Freund1, Beth N Bolick

  • 1Debra Freund is an adjunct faculty member of the Acute Care Pediatric Nurse Practitioner (AC PNP) program and Beth N. Bolick is a professor and director of the AC PNP program, both at the Rush University College of Nursing, Chicago. Contact author: Debra Freund, dfreund152@gmail.com. The authors and planners have disclosed no potential conflicts of interest, financial or otherwise.

The American Journal of Nursing
|April 16, 2019
PubMed
Summary

Accurate pain assessment in children is crucial for preventing long-term negative health outcomes. This study reviews methods and tools for effective pediatric pain measurement, emphasizing self-report and caregiver input.

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Area of Science:

  • Pediatric Health
  • Pain Management
  • Clinical Assessment

Background:

  • Effective pain assessment is vital for optimal health outcomes in all patients.
  • Children experiencing acute pain face risks like medical traumatic stress and chronic pain development.
  • Pediatric pain assessment is complex due to developmental factors and unique patient responses.

Purpose of the Study:

  • To describe methods for measuring pain intensity in children.
  • To highlight assessment tools designed for pediatric populations.
  • To emphasize the role of caregiver reporting and interprofessional communication.

Main Methods:

  • Review of three types of pain intensity assessment in children.
  • Discussion of specialized pain assessment tools considering age and specific conditions.

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  • Exploration of proxy pain reporting by parents or caregivers.

    • Main Results:

    • Children's self-report is the most accurate pain measure.
    • Specialized tools are necessary to account for developmental variations and conditions.
    • Proxy reporting and improved communication enhance pain management outcomes.

    Conclusions:

    • Accurate pediatric pain assessment requires age-appropriate tools and methods.
    • Caregiver involvement and effective communication are key to successful pain management.
    • Addressing procedural pain in children is essential for preventing adverse long-term effects.