Barriers and Facilitators to Effective Pain Management by Parents After Pediatric Outpatient Surgery

Tam, Teresa; Wu, Julia M.; Page, Patricia; Lamb, Elizabeth A.; Jordán, Isabel; Chambers, Christine T.; Robillard, Julie M.

doi:10.1016/j.pedhc.2020.06.008

Cited by 13 publications

(9 citation statements)

References 29 publications

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“…A partir de encuestas hechas a los padres y cuidadores de niños sometidos a cirugía ambulatoria se han creado listas de recomendaciones para el período posoperatorio. El 2020, en Journal of Pediatric Health Care resume estas propuestas en los siguientes puntos [2]: 1. Respecto al contenido de la información entregada al alta: -Entregar el tratamiento analgésico escrito en un calendario detallado con los horarios de administración de medicamentos para las primeras 24-48 h. -Entregar más información respecto al proceso de recuperación después de la cirugía.…”

Section: Iii-período Posoperatoriounclassified

“…La cirugía ambulatoria ha aumentado de manera importante durante las últimas décadas. La literatura refiere que más del 75% de los niños tiene dolor en el período posoperatorio, cuando ya han sido dados de alta a sus casas, y de estos, el 40% tienen dolor moderado a severo [1], [2], [3]. Los cuidadores recurren al cirujano o al pediatra de cabecera, donde no existe un especialista en manejo de dolor.…”

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“…Muchas de las vías nerviosas de la transmisión y percepción del dolor se desarrollan a temprana edad, estando presentes y funcionales desde las 24 semanas de gestación intrauterina. El dolor mal tratado tiene consecuencias inmediatas y a largo plazo como empeoramiento de la calidad de vida, uso prolongado de analgésicos y aparición de dolor persistente o crónico [2], [4]. Los niños en etapa preverbal no son capaces de describir su dolor o su experiencia subjetiva y debe ser el cuidador el que aprenda a evaluarlo de manera correcta.…”

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“…El objetivo principal es resaltar la importancia del manejo analgésico efectivo y seguro. El manejo multimodal del dolor es la estrategia más adecuada involucrando técnicas no farmacológicas, farmacológicas y técnicas de anestesia regional [1], [2], [3], [4], [6]. La selección de pacientes, planificación precoz de la estrategia analgesica y educación de los cuidadores son las claves para el éxito [9].…”

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Estrategias analgésicas para cirugía ambulatoria en niños

2021

Rev. chil. anest.

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During the last decades, there has been a significant growth in ambulatory surgeries. Literature, unfortunately, tells us that more than 75% of children have pain during the postoperative period, when they have been discharged, and 40% of these children have mild to severe pain. Caregivers turn to the surgeon, pediatrician or the clinic, places where usually there is no pain management specialist. Frequently, even when pain is evident, children get inadequate treatment. It is inadequate to say that children don't remember or don't respond to a painful experience at the same level as adults do. Many of the transmission and perception nerve tracts are developed in early life, being present and in function since week 24 of intrauterine gestation. The mistreated pain has immediate and long-term consequences. For clinicians, it is of utmost importance the knowledge of these consequences, summarizing, lifestyle deterioration, extended usage of (analgesics) painkillers and onset of persistent or chronic pain. Toddlers are not able to describe their pain or their subjective experience, due to this, the caregiver must learn how to evaluate properly. This evaluation is intended for every pediatric patient who meets the criteria for an ambulatory surgery. The main objective is to highlight the importance of a safe and effective analgesic management. The most appropriate method to treat postoperative severe pain is multimodal, which involves nonpharmacological, pharmacological, and local anesthetic techniques. The patients' selection, the early anesthetic strategy planning and caregivers' education are the keys for success.

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Section: Iii-período Posoperatoriounclassified

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Estrategias analgésicas para cirugía ambulatoria en niños

2021

Rev. chil. anest.

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“…A child's care is overseen at home by the child's parents following discharge from the hospital. The postoperative care of the child also includes the assessment and management of pain (10,11). Studies have shown that parents expect support in assessing and reducing of their child's postoperative pain (5,12,13).…”

Section: Introductionmentioning

confidence: 99%

Parents’ Postoperative Pain Measure: Turkish Validity and Reliability

Seval¹

2020

Erciyes Med J

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The preparation of children for day surgery from the parent's viewpoint: A mixed methods study

Kerimaa,

Hakala,

Haapea

et al. 2024

Nursing Open

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AimThe purpose of the study was to describe the preparation of children for day surgery from the parent's viewpoint.DesignEmpirical Research Mixed Method.MethodsThe research applied a mixed‐methods study design. The study was conducted at the Paediatric Day Surgical Department of one REDACTED between 2018 and 2020 at the same time as an associated randomised controlled conduct trial. Parents of 41 children (ages 2–6 years) completed measures assessing their preparation for day surgery and satisfaction with the procedure. Semi‐structured interviews were conducted with 15 parents to better understand their experiences.ResultsAccording to the results, most of the parents (95%) told their children about the upcoming day surgery procedure. The child was prepared for the surgery with cognitive and sensory information, and the preparation usually started at home well before the surgery. The parents' experiences with the most critical aspects of preparing their child included three main categories: (1) usability of the preparation method; (2) content and timing of the preparation method and (3) consideration of the family perspective.

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Barriers and Facilitators to Effective Pain Management by Parents After Pediatric Outpatient Surgery

Cited by 13 publications

References 29 publications

Estrategias analgésicas para cirugía ambulatoria en niños

Estrategias analgésicas para cirugía ambulatoria en niños

Parents’ Postoperative Pain Measure: Turkish Validity and Reliability

The preparation of children for day surgery from the parent's viewpoint: A mixed methods study

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