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Let's Stop the Pain: A Trauma-Informed Care Approach to Pediatric Vaccination
Sandra Jee1,2,3, Anne-Marie Conn1, Jody Todd Manly4
1Division of General Pediatrics, Department of Pediatrics, University of Rochester Medical Center, Rochester, NY, USA.
Clinical Pediatrics
|August 7, 2023
Summary
Pediatric pain management during vaccinations can reduce lifelong anxiety. Implementing humane approaches like distraction and purposeful language in outpatient settings improves patient outcomes.
Area of Science:
- Pediatric Medicine
- Pain Management
- Psychological Health
Background:
- Painful medical procedures like vaccinations can cause significant, lasting anxiety in children.
- This fear can persist into adulthood, impacting healthcare engagement.
- Underserved pediatric populations may face heightened risks due to limited access to specialized care.
Purpose of the Study:
- To assess the impact of implementing a trauma-informed care approach on pediatric pain management.
- To evaluate changes in pain management strategies in an underserved outpatient setting.
- To reduce lifelong anxiety associated with routine injections in pediatric patients.
Main Methods:
- Assessed pre- and post-intervention changes in pain management practices.
- Implemented intentional and humane pain management techniques.
- Focused on distraction, positioning, and purposeful language.
- Utilized a trauma-informed care framework.
Main Results:
- Demonstrated a reduction in patient anxiety following the intervention.
- Observed improved adoption of humane pain management strategies by staff.
- Successfully adapted pain management for an underserved pediatric population.
Conclusions:
- Trauma-informed care and specific pain management techniques effectively mitigate pediatric procedural anxiety.
- Intentional approaches to pain during vaccinations can prevent long-term psychological distress.
- Outpatient pediatric settings can successfully implement these strategies for improved patient well-being.
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