Pain And Its Many Faces (original) (raw)
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Assessment of pain in children and the role of nursing care
Journal of Nursing Ufpe Online, 2013
Objectives: to reflect on the main forms of pain evaluation used in children and portraying the role of nursing by the child with pain. Method: reflective study based on literature review. The search occurred in journals indexed in the database LILACS (Latin American literature and the Caribbean and of the health sciences), ducts and guidelines from the Ministry of health. Results: the effective evaluation of pain in Pediatrics has been a challenge for health professionals, since para nursing staff evaluate and quantify the pain in children is important to the understanding of the characteristics of infant behavior and development. Therefore, understanding the child with pain, find means to help her will be the strategy to optimize the form of treatment. Conclusion: the nursing staff must be prepared to use alternative activities to treatment in order to minimize the suffering of the child, helping also to assimilate better the process of hospitalization. Descriptors: Pain; Child; Nursing. RESUMO Objetivos: refletir sobre as principais formas de avaliação da dor utilizadas em crianças e retratar o papel da enfermagem junto à criança com dor. Método: estudo reflexivo baseado em revisão de literatura. A busca ocorreu em periódicos eletrônicos indexados na base de dados do LILACS (Literatura Latino-Americana e do Caribe e das Ciências da Saúde), condutas e diretrizes do Ministério da saúde. Resultados: a avaliação efetiva da dor em pediatria tem sido um desafio para os profissionais da saúde, haja vista que para a equipe de enfermagem avaliar e quantificar a dor na criança é importante à compreensão das características do desenvolvimento e comportamento infantil. Portanto, entender a criança com dor, encontrar meio para ajudá-la será a estratégia para otimizar a forma de tratamento. Conclusão: a equipe de enfermagem deve estar preparada para utilizar atividades alternativas ao tratamento a fim de minimizar o sofrimento na criança, ajudando-a também a assimilar melhor o processo de hospitalização. Descritores: Dor; Criança; Enfermagem. RESUMEN Objetivos: reflexionar sobre las formas principales de la evaluación del dolor utilizado en niños y representando el papel de la enfermería por el niño con dolor. Método: reflexivo estudio basado en la revisión de literatura. La búsqueda se produjo en revistas indexadas en la base de datos LILACS (literatura latinoamericana y del Caribe y de Ciencias de la salud), los conductos y las directrices del Ministerio de salud. Resultados: la evaluación efectiva de dolor en pediatría ha sido un reto para los profesionales de la salud, desde para amamantamiento personal evaluar y cuantificar el dolor en los niños es importante para la comprensión de las características del comportamiento infantil y el desarrollo. Por lo tanto, entender al niño con dolor, encontrar los medios para ayudarla a será la estrategia para optimizar la forma de tratamiento. Conclusión: el personal de enfermería debe estar preparado para utilizar las actividades alternativas al tratamiento con el fin de minimizar el sufrimiento del niño, ayudando también a asimilar mejor el proceso de hospitalización. Descriptores: Dolor; Niño; Enfermería.
THE DIFFERENT APPROACHES TO PAIN AND THE CARE THAT MUST BE TAKEN (Atena Editora)
THE DIFFERENT APPROACHES TO PAIN AND THE CARE THAT MUST BE TAKEN (Atena Editora), 2022
Pain is an unpleasant sensory and emotional experience, caused by injury or imminent risk of its development, and its pathophysiology consists of 4 main stages, which are signal transduction, conduction, transmission and perception, each with your particular action. Pain can be classified as acute or chronic, differing mainly in terms of onset, duration, etiology and association with the injury. There are certain more specific situations in which the patient feels pain, such as chest pain, abdominal pain, headache, back and neck pain. Each type of pain has its respective treatment with certain drugs according to the severity, which are decided individually for each case. The following study aims to present, describe and demonstrate the importance of clinical management of acute and chronic pain, differentiating them for better clinical therapy. This is an integrative literature review of a descriptive nature. Finally, the study concludes that there is a great need for health professionals to differentiate the types of pain and understand the changes that encompass this pain, in order to obtain a more punctual and effective management of clinical conditions.
A Mini Review on Pain: Definition, Interesting Facts, Types, and Management
Everybody should know the true causes of their pain through pathological tests. Ignoring any pain could be severe in the long run. From this perspective, this review carried out an impact on healthy living. A renowned medical dictionary of Taber (volumes 1 and 2) gave a clear conception of all pain with examples. Based on the result, out of 28 types of pain, acute and severe pain was the main two categories and could be focused on much pain (Table 1). Without proper pathological tests, sometimes it is impossible to identify the true causes of pain because occasionally different diseases indicate the same type of pain. Warm-up and stretching before any workouts could mitigate all probable injuries. A patient deserves to get proper help for any pain from health workers as well as a physiotherapist. History of pain always helps the expert in providing actual advice on such pains of the patients.
Management of pain in children by paediatric nurses in Eastern Turkey
Kontakt
The most pressing issue in the assessment of children is that they are unable to explain their pain. effective pain management requires that nurses have accurate knowledge and skills. This aim of this study was to explain the assessment and management of pain in children by paediatric nurses in eastern Turkey. This descriptive crosssectional study included 180 paediatric nurses. it intended to reach paediatric nurses between April 22, 2013, and June 1, 2013. The data were analysed using SPSS 22.0 and evaluated by descriptive statistics, and the chi-squared test was used to determine the statistical differences between categorical variables. The mean ages of the nurses were 26.6 ± 6.46. The nurses reported the methods they used to assess pain in children as evaluating the behavioural and physiological changes (78.8%). They reported their primary intervention for pain management in children as consulting the doctor (50%). commonly used non-pharmacological interventions were massage (40%), giving the child a toy (23.4%), storytelling (14.4%), and playing a game (4.4%). in this study, paediatric nurses frequently did not use the pain assessment scale and used nonpharmacological interventions for pain management. Optimal pain management is the right of all patients and the responsibility of all health professionals. Nurses especially should use evidence-based assessments for children's pain. Moreover, it is also necessary to conduct further studies on non-pharmacological interventions.
Evaluation of pain in the pediatric patient by nurse in the hospital
Journal of Pediatric Intensive Care, 2015
To understand the way pain is produced and perceived is very important for its relief. In recent years, important advances have been made regarding the evaluation of pain, with the validation of objective criteria such as Oucher pain scales, body diagrams, numerical scales, verbal descriptive scales and visual analogue scales. The objective evaluation of pain is of special importance in pediatrics given the difficulties inherent to the patients of this group. The purpose of this study was to determine how nursing professionals evaluate pain in hospitalized children. We employed a questionnaire to nursing professionals (nurse technicians, practical nurses and registered nurses) that work in the pediatric service of a teaching hospital. Fifty-six professionals (100% women) answered the questionnaire. Of these, 55 (98.2%) stated that they knew the methods and cited vital signals, physical examination and patient behaviors as items for evaluation. Although the majority of professionals (98.2%) have reported knowledge of objective methods (scales) for pain assessment in children, there was a predominance of behavioral observation as a method of choice (prevalence ratio 2.27; 95% confidence interval: 0.9 to 2.38). No significant associations or differences were observed between professional category, time of experience, other variables, and the type of method employed. The selected professionals do not use scales or other objective methods to measure pain in children. Therefore, it is necessary to habilitate and train nursing professionals working with pediatric patients in pain so that they will be able to assess their pain in an adequate manner.
Assessment of Pain Management in Pediatric Emergency Department in Mashhad -Iran
International Journal of Pediatrics, 2013
Introduction: Pain may be described as a sensation of hurt or strong discomfort and is the body's way of sending message to the brain that an injury has occurred. Pain medicines block these messages or reduce their effect on the brain. Accurate administration of analgesia have a long –lasting effect on children whole experience of medical care and affects parents' and children's future reaction to pediatrics emergency departments. The purpose of this study was to evaluate pain management on children in our emergency department. Materials and Methods: In this study we evaluated the relief of pain and anxiety on 100 children who referred to our pediatric Emergency Department (ED) in Imam Reza Hospital- Mashhad .The patients were assessed based on the American Academy of Pediatrics (AAP) recommendations about pain. Results: Patients were gone under IV Line 97%, Intubation 5% and Lumbar Puncture 28%. Training had been provided to 70% participants in the Emergency Department...
Assessment of pain: types, mechanism and treatment
Annals of agricultural and environmental medicine : AAEM, 2013
Pain is the most common symptom of disease, which accompanies us from an early age. It is a protective mechanism to which the body responds to harmful stimulus. The definition of pain states that it is a subjective sensory and emotional experience. It is connected to the stimulus that it invokes and is also based on the observation of psychological interpretation of the phenomena taking place. Pain is individual for each person. Pain affects both our previous experience of pain and psychosomatic conditions, depending on the relationship between the psyche and the body. Pain is always an unpleasant sensation. The feeling of pain can be caused by irritation of pain receptors, which can be found in the skin, joints and many internal organs. The cause of pain may also be damage to the nervous system, both the peripheral nerves, brain and spinal cord. Pain can also occur without damage to tissues, although the patient refers to it (psychogenic pain). The process of pain is a complex phen...
Revista Brasileira de Enfermagem
Objectives: to investigate how the pain assessment and management process in pediatric patients is performed and suggestions for its improvement. Methods: exploratory, qualitative study. Nine professionals from the nursing team of a pediatric hospital unit in Porto Alegre/RS participated in the study. A sociodemographic questionnaire and semi-structured interviews were used with content analysis. Results: the results reinforced the importance of pain assessment with family participation and the need to use tools and process improvements in the training and sensitization of professionals. Final Considerations: after the study was concluded, there was a clear need to address the issue, highlighting its relevance for pain resolution in pediatric patients.
Knowledge, attitude and practices among health care professionals regarding pain
Indian journal of pediatrics, 2009
To assess the knowledge, attitude and practices among health care professionals regarding pain in children. This was a prospective descriptive survey conducted at a tertiary care hospital in north India. A semi structured questionnaire regarding pain in children was administered to pediatric residents and nurses in a teaching hospital. The questionnaire consisted of 24 items, of which 18 items were rated on a 5-point scale ('strongly agree' to 'strongly disagree') and 6 items were open-ended questions. The response rate was 89.5%. Of 77 participants, 47 (61.1%) were nurses and 30 (38.9%) were pediatric residents. The knowledge about pain scales among the studied healthcare professionals was not widespread. Majority of respondents believed that the best judge of intensity of pain is the child. Nearly two-thirds of the respondents felt that non-pharmacological measures were better to control pain and also their practices showed that most were willing to allow the paren...