[Understand, assess and manage the pain of children with profound intellectual and multiple disabilities]

David Jacquier1, Anne-Laure Martin2, Chantal Mamie3

  • 1Unité de neurologie et neuroréhabilitation pédiatrique, Service de pédiatrie, Département femme-mère-enfant, Centre hospitalier universitaire vaudois et Université de Lausanne, 1011 Lausanne.

Revue Medicale Suisse
|February 28, 2022
PubMed

Insights

Children with profound intellectual and multiple disabilities face significant pain risks due to complex medical needs and care. This article guides recognizing and treating pain in these vulnerable children.

Area of Science:

  • Pediatrics
  • Disability Studies
  • Pain Management

Background:

  • Children with profound intellectual and multiple disabilities (PIMD) exhibit high vulnerability.
  • Their complex medical issues and reliance on extensive daily living support increase risks.
  • Frequent emergency care visits and multiple caregivers are common.

Purpose of the Study:

  • To provide a comprehensive overview of pain recognition in children with PIMD.
  • To outline effective treatment strategies for pain in this population.
  • To enhance the quality of care for vulnerable children experiencing pain.

Main Methods:

  • Literature review on pain assessment tools for non-verbal or minimally verbal children.
  • Synthesis of current best practices in pain management for individuals with disabilities.
  • Case study analysis (if applicable, otherwise omit or generalize).

Main Results:

  • Pain in children with PIMD can be challenging to identify due to communication barriers.
  • Behavioral, physiological, and contextual cues are crucial for pain recognition.
  • Multimodal treatment approaches are often necessary for effective pain relief.

Conclusions:

  • Early and accurate pain recognition is vital for children with PIMD.
  • Tailored pain management strategies are essential to improve their well-being.
  • Further research is needed to refine assessment and treatment protocols.

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