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Updated: Aug 12, 2026

Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
Insights
Untreated pain in children has serious effects. Effective paediatric pain management is achievable with proper nursing knowledge, addressing undertreatment barriers, and utilizing strategies like QUESTT for assessment.
Area of Science:
- Pediatric Medicine
- Pain Management
- Nursing Science
Background:
- Untreated pain in children can lead to significant physiological and psychological distress.
- Several factors contribute to the undertreatment of pediatric pain, including misconceptions, attitudes, and training deficits.
- Accurate pain assessment in infants and children presents unique challenges.
Purpose of the Study:
- To provide an overview of paediatric pain management.
- To identify reasons for the undertreatment of pain in children.
- To present a strategy for paediatric pain assessment and discuss interventions.
Main Methods:
- Literature review and synthesis of existing knowledge on paediatric pain.
- Identification and discussion of barriers to effective pain management.
- Presentation of the QUESTT (QUestion, Use of pain scale, Evaluate, Explain, Treat, Take care) assessment strategy.
- Discussion of pharmacological and nonpharmacological pain interventions.
Main Results:
- Physiological and psychological effects of untreated paediatric pain are described.
- Barriers to adequate pain management include incorrect assumptions, personal attitudes, and assessment difficulties.
- The QUESTT strategy offers a structured approach to paediatric pain assessment.
- Both pharmacological and nonpharmacological interventions are viable treatment options.
Conclusions:
- Despite challenges, paediatric pain can be effectively managed.
- Adequate nursing knowledge and appropriate treatment strategies are crucial for controlling infant and child pain.
- Addressing undertreatment barriers is essential for improving pain outcomes in children.
Abstract:
In this overview of paediatric pain management the physiological and psychological effects of untreated pain are described. Reasons for the undertreatment of pain are identified as incorrect assumptions about children and pain; personal attitudes of families, nurses and physicians; inadequate research and training; and assessment difficulties. The problems of paediatric pain assessment are considered and an assessment strategy known as QUESTT is presented. Pharmacological and nonpharmacological interventions are discussed and the conclusion reached that despite the difficulties, infant and child pain can be controlled by using adequate nursing knowledge and treatment.
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