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Updated: Aug 17, 2025

Determining Pain Detection and Tolerance Thresholds Using an Integrated, Multi-Modal Pain Task Battery
Published on: April 14, 2016
Best practices in pain assessment and management for children
Evelyne D Trottier1, Samina Ali1, Marie-Joëlle Doré-Bergeron1
1Canadian Paediatric Society, Acute Care Committee, Hospital Paediatrics Section, Paediatric Emergency Medicine Section, Ottawa, Ontario, Canada.
Insights
Prioritizing self-reported pain and using behavioral tools are key for pediatric pain assessment. Effective pain management combines physical, psychological, and pharmacological approaches, tailored to each child and their family.
Area of Science:
- Pediatric healthcare
- Pain management science
Background:
- Effective pain assessment and management are crucial in pediatric care.
- Developmentally appropriate methods are essential for accurate pain evaluation.
Purpose of the Study:
- To outline best practices for pediatric pain assessment.
- To provide strategies for optimizing pediatric pain management.
Main Methods:
- Prioritizing self-reported pain measures.
- Utilizing developmentally appropriate behavioral pain assessment tools.
- Implementing combined physical, psychological, and pharmacological interventions.
Main Results:
- Self-reported pain assessment is the preferred method.
- Behavioral tools serve as effective alternatives when needed.
- Multimodal strategies are recommended for acute and chronic pain.
Conclusions:
- Personalized, family-centered care is paramount for pediatric pain management.
- Accessible guidelines for acute pain are necessary across healthcare settings.
- Functional improvement is the primary goal for chronic pain management.
Abstract:
Pain assessment and management are essential components of paediatric care. Developmentally appropriate pain assessment is an important first step in optimizing pain management. Self-reported pain should be prioritized. Alternatively, developmentally appropriate behavioural tools should be used. Acute pain management and prevention guidelines and strategies that combine physical, psychological, and pharmacological approaches should be accessible in all health care settings. Chronic pain is best managed using combined treatment modalities and counselling, with the primary goal of attaining functional improvement. The planning and implementation of pain management strategies for children should always be personalized and family-centred.
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