The pain experience in infants, children, and adolescents

Seminars in Perioperative Nursing
|April 1, 1995
PubMed

Insights

Pediatric postoperative pain management requires more research and tailored interventions. This article explores the unique pain experiences of infants, children, and adolescents to aid healthcare providers.

Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Perioperative Nursing

Background:

  • Adult postoperative pain research has advanced interventions.
  • Pediatric postoperative pain research and interventions lag behind adult care.
  • Challenges in pediatric pain management include communication barriers and provider reluctance.

Purpose of the Study:

  • To explore the postoperative pain experience in infants, children, and adolescents.
  • To enhance perioperative nurses' ability to manage pediatric pain.
  • To improve care for pediatric patients and their families experiencing postoperative pain.

Main Methods:

  • Literature review on pediatric postoperative pain.
  • Analysis of challenges in pediatric pain assessment.
  • Exploration of communication and provider-related factors.

Main Results:

  • Limited research exists on pediatric postoperative pain compared to adults.
  • Developmentally appropriate pain assessment tools are crucial.
  • Effective pain management requires addressing psychological and physiological factors.

Conclusions:

  • Further research is needed to develop specific interventions for pediatric postoperative pain.
  • Perioperative nurses play a vital role in advocating for and managing pediatric pain.
  • Improved understanding of pediatric pain experiences can enhance patient and family care outcomes.

Related Concept Videos

Bullying02:04

Bullying

A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is bullying.
Blood and Nerve Supply to the Bones01:29

Blood and Nerve Supply to the Bones

Bones are dynamic organs that require a rich supply of oxygen and nutrients. Around 5% to 10% of the cardiac output supplies blood to the bones. A typical long bone has three main sources: the nutrient artery, the metaphyseal and epiphyseal arteries, and the periosteal arteries.
Nutrient Artery
The nutrient artery is the main blood vessel that enters the diaphysis via the nutrient foramen. While most long bones have only one nutrient foramen, large bones, such as the femur, may have two. This...
Analgesia and Pain Management01:25

Analgesia and Pain Management

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...
Pain01:20

Pain

Pain serves as a critical warning signal that alerts the body to potential or actual harm. When mechanical pressure on the skin is intense, such as from a sharp pinch, the sensation transitions from touch to pain. Similarly, extreme temperatures, like a hot pot handle, convert the sensation of heat into pain. Pain can also result from overstimulation of other senses, such as blinding light, loud noise, or the intense heat from habañero peppers. This ability to sense pain is essential for...
Nightmares and Night Terrors01:18

Nightmares and Night Terrors

Nightmares and night terrors represent two distinct types of sleep disturbances that differ in timing, characteristics, and the sleeper's recall of the event. Nightmares are vivid, disturbing dreams that usually awaken the sleeper from REM sleep, a stage of sleep where brain activity is high, and dreams are most frequent. Upon awakening, individuals often have detailed recollections of their nightmares, which can include themes of threats to survival, security, or self-esteem.
Nightmares often...
Cognitive Development During Adolescence01:18

Cognitive Development During Adolescence

During adolescence, individuals experience significant cognitive development that enhances their understanding of others' emotions and thoughts, known as cognitive empathy. This period is marked by an increased ability to adapt to others' perspectives and a more nuanced understanding of others' mental states, a skill that is foundational for social problem-solving and conflict avoidance. The development of cognitive empathy relies heavily on the theory of mind — the recognition that people have...