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Commentary: Pediatric Pain Measurement, Assessment, and Evaluation
Michela Carter1, Renee Cb Manworren2, Jennifer N Stinson3
1Division of Pediatric Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL; Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.
Seminars in Pediatric Neurology
|November 2, 2023
Summary
Accurate pediatric pain assessment is crucial for effective treatment. This review covers pain evaluation methods for children, highlighting tools and future personalized approaches in pediatric pain medicine.
Area of Science:
- Pediatric Neurology
- Pain Management
- Clinical Assessment
Background:
- Pain assessment is foundational for diagnosing and treating pediatric pain effectively.
- Despite available tools, children's pain is often suboptimally measured and treated.
- Optimal pain management requires a thorough understanding of assessment principles.
Purpose of the Study:
- To provide an overview of pain evaluation methods for pediatric patients from neonates to adolescents.
- To differentiate between pain assessment and pain measurement.
- To identify key steps and factors in selecting appropriate pain assessment tools.
Main Methods:
- Review of existing literature on pediatric pain assessment tools.
- Discussion of self-report and behavioral pain assessment methods.
- Identification of criteria for choosing specific assessment instruments.
Main Results:
- Numerous valid and reliable pain assessment tools exist for children.
- Evidence indicates a gap between available tools and optimal clinical practice.
- Key steps and considerations for effective pain assessment are outlined.
Conclusions:
- Effective pediatric pain management relies on accurate and appropriate pain assessment.
- Understanding the nuances between assessment and measurement is critical.
- Future directions include personalized pain medicine leveraging digital health and genomics.
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