Children in pain: An underprivileged group

Dilworth, N.M.

doi:10.1016/s0022-3468(88)80133-7

Cited by 12 publications

(2 citation statements)

References 3 publications

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“…It is time to place misconceptions of pain control in children behind us and treat the symptoms of pain that they express (7). Whether children suffer the same pain as adults is unclear, but the fact that they do experience pain cannot be denied (8).…”

Section: 3)mentioning

confidence: 99%

Pain Control in the Terminally Ill Child at Home

Meehan¹

1989

Issues in Comprehensive Pediatric Nursing

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The seriously ill or terminally ill child with cancer has received inadequate pain control in the past, partly due to physicians' and nurses' fears and misconceptions regarding the administration of effective pain medications to a child. Advances in assessment techniques in the infant and young child, as well as increasing use of pain assessment questionnaires and VAS in the older child, have mandated changes in administration of analgesia to children. It is the responsibility of the health-care team of provide adequate pain control to the ill child, using knowledgeable assessment and monitoring skills. The goal of therapy for the dying child is to maintain comfort and support the child and the family. Providing analgesia in the hospital or the home has proven safe and effective when administered either orally or parenterally, and comfort of the child is achieved.

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Section: 3)mentioning

confidence: 99%

Pain Control in the Terminally Ill Child at Home

Meehan¹

1989

Issues in Comprehensive Pediatric Nursing

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“…A number of papers and editorials have also drawn attention to the poor management of pain in children (McCaffery & Hart 1976;Schechter, Allen & Hanson 1986;Rama 1987;Dilworth 1988;McGrath & Johnson 1988) and recently a report from the Royal College of Surgeons of England and the College of Anaesthetists on pain after surgery (1990) highlighted the problem. Comparison of analgesic usage between adults and children shows that children consistently receive fewer, less frequent and smaller doses of Correspondence to: Dr N.S.…”

Section: Introductionhackgroundmentioning

confidence: 99%

Patient‐controlled analgesia for children: a review

Gillespie

Morton

1992

Pediatric Anesthesia

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The technique of patient-controlled analgesia (PCA) has recently been applied successfully to suitable paediatric patients. PCA using morphine has been shown to be feasible, efficacious and safe even in children of 5 years of age. Adverse effects are similar to other techniques using opioids. Hypoxaemia and respiratory depression are unusual but a high dependency level of nursing supervision and oxygen saturation monitoring by pulse oximetry are recommended. Developments of the technique include nurse or parent assisted PCA, the use of other opiates such as fentanyl or alfentanil, patientcontrolled variable rate infusion and patient-controlled epidural analgesia. PCA is also a powerful research tool in evaluating objectively other methods of analgesia. It will find an increasing role in paediatric practice for the management of acute and chronic pain as a major component of a comprehensive pain relief service.

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Nociceptive responses of 3‐day‐old rat pups to IP injection of lithium carbonate

McLaughlin

Cramer

1991

Developmental Psychobiology

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Various authors have suggested that neonatal responses to nociceptive stimuli are different than those observed in adults. However, our own recent observations in rat pups have indicated that neonates may be more responsive to nociceptive stimuli than previously thought. In the present study, the abdominal constrictions or writhing test of visceral nociception was adapted for use in 3-day-old rat pups in an effort to more completely assess the nociceptive responses of neonatal rat pups. Pups receiving the imtant showed robust and long-lasting behavioral differences that were attenuated by morphine sulfate. The results from our study indicate that neonatal rats pups are not insensitive to noxious stimulation as has been previously suggested.

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Children in pain: An underprivileged group

Cited by 12 publications

References 3 publications

Pain Control in the Terminally Ill Child at Home

Pain Control in the Terminally Ill Child at Home

Patient‐controlled analgesia for children: a review

Nociceptive responses of 3‐day‐old rat pups to IP injection of lithium carbonate

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