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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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A Preterm Rat Model for Pain Studies
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Caring Science in the Neonatal Intensive Care Unit: Transforming Neonatal Pain Management.

Helen McCord1,2, Lisa S Goldberg3, Jean Watson4

  • 1Faculty of Health, School of Nursing, Dalhousie University, Halifax, Nova Scotia (NS), Canada.

Nursing Science Quarterly
|June 20, 2025
PubMed
Summary

Neonatal nurses can improve pain management for preterm infants by using caring science principles. This approach fosters authentic care through strong relationships and environments, enhancing pain assessment and treatment.

Keywords:
Caritas Processes®NICUWatson’s caring scienceneonatal nursingnursing burnoutpain assessmentpain managementpremature infant

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Area of Science:

  • Neonatal nursing
  • Caring science
  • Pain management

Background:

  • Critically ill preterm infants experience frequent painful procedures.
  • Pain management in this population remains undertreated despite available strategies.
  • Caring science offers a framework for professional practice.

Purpose of the Study:

  • To apply a caring science framework to guide neonatal nurses.
  • To promote authentic neonatal care through relationship and environmental creation.
  • To enhance pain assessment and management practices in preterm infants.

Main Methods:

  • Utilizing a caring science framework.
  • Guiding nurses in professional practice.
  • Focusing on relationship and environment creation.

Main Results:

  • The framework guides nurses toward authentic neonatal care.
  • It promotes the creation of a caring relationship and environment.
  • It aims to improve pain assessment and management.

Conclusions:

  • A caring science framework can enhance neonatal nursing practice.
  • Authentic care, relationships, and environments are key to managing infant pain.
  • This approach supports optimal pain assessment and management for preterm infants.