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Are children given insufficient pain-relieving medication postoperatively?

J P Hamers1, H H Abu-Saad, M A van den Hout

  • 1Department of Nursing Science, Maastricht University, The Netherlands.

Journal of Advanced Nursing
|March 27, 1998
PubMed
Summary

Postoperative pain in children may be undertreated due to inconsistent pain assessment and a reliance on nurse-administered medications. Standardized pain medication prescriptions are recommended over pro re nata (prn) orders to improve pediatric pain management.

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Area of Science:

  • Pediatric Anesthesiology
  • Pain Management
  • Nursing Practice

Background:

  • Literature suggests children are often under-medicated postoperatively.
  • Few studies definitively address insufficient pain relief in pediatric patients.
  • Lack of consensus on expected pain intensity and cautious prescribing contribute to current practices.

Purpose of the Study:

  • To review the literature on postoperative pain management in children.
  • To evaluate the effectiveness of current pain relief strategies.
  • To determine if children's pain is relieved insufficiently postoperatively.

Main Methods:

  • Systematic literature review of studies on pediatric postoperative pain.
  • Analysis of factors influencing analgesic administration, including pro re nata (prn) prescribing.

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  • Examination of the role of nurses' perceptions and knowledge in pain management.

    • Main Results:

    • Evidence is limited on whether pediatric postoperative pain is consistently undertreated.
    • Pro re rata (prn) prescribing places decision-making on nurses, potentially leading to under-medication.
    • Nurses' underestimation of pain and attitudes towards pain relief impact efficacy.

    Conclusions:

    • Standard prescription of pain medication is recommended over pro re nata (prn) orders.
    • Further research is needed on pain incidence, prevalence, and analgesic effectiveness in children.
    • Improved pain management protocols are essential for pediatric postoperative care.