Degree of Knowledge of Health Care Professionals About Pain Management and Use of Opioids in Pediatrics

Freitas, Gabriel Rodrigues Martins de; Castro, Cláudio Galvão de; Castro, Stela Maris de Jezus; Heineck, Isabela

doi:10.1111/pme.12332

Cited by 34 publications

(34 citation statements)

References 32 publications

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“…This variation was also noticed by other conducted studies [21, 23, 35, 41, 50] and could be due to inadequate educational curriculum and insufficient clinical training programs [23, 26, 44, 51]. …”

Section: Discussionsupporting

confidence: 59%

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Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Nuseir

Kassab

Almomani

2016

Pain Research and Management

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Context. Despite improvement in pain management and availability of clinical treatment guidelines, patients in Jordan are still suffering from pain. Negative consequences of undertreated pain are being recognized as a reason for further illnesses and poor quality of life. Healthcare providers (HCPs) are responsible for relieving pain of their patients. Objective. To evaluate the knowledge and attitudes of HCPs toward pain management in Jordan. Methods. A 16-item questionnaire with agree or disagree options was given to 662 HCPs in seven hospitals in Jordan who volunteered to participate in the study. Following data collection, the responses were coded and entered into SPSS. Results. There was a statistically significant difference (p < 0.004) in percentage scores between physicians (36%) and pharmacists (36%) versus nurses (24%). The level of knowledge was the best among physicians, followed by pharmacists specifically in the area of cancer pain management. Nurses scored the lowest for knowledge of pain assessment and management among HCPs. However, HCPs overall scores indicated insufficient knowledge specifically in relation to pain assessment and management among children.

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Section: Discussionsupporting

confidence: 59%

“…HCPs' correct answer rate to questions related to this group of patients was the lowest. Likewise other studies described the ill preparation of HCPs to assess and manage children's pain [15, 16, 27, 50, 54, 55]. …”

Section: Discussionmentioning

confidence: 99%

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Nuseir

Kassab

Almomani

2016

Pain Research and Management

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“…A review of pain assessment in elderly patients with dementia demonstrated that the Pain Assessment Checklist for Seniors with Limited Ability to Communicate, a 4-dimension checklist measuring facial expression, body movement, mood, and physiological signs, provided the greatest sensitivity and utility among the 12 assessment scales reviewed [79]. However, these techniques are underutilized in the ED for pediatric and elderly patients [14,80,81], who are at increased risk of undertreatment of pain, despite pain assessment for all hospital patients being a mandatory component of standard care outlined by The Joint Commission [82].…”

Section: New Therapeutic Options For the Management Of Acute Painmentioning

confidence: 97%

Improving acute pain management in emergency medicine

Pollack

Viscusi

2015

Hospital Practice

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Undertreatment of pain (oligoanalgesia) in the emergency department is common, and it negatively impacts patient care. Both failure of appropriate pain assessment and the potential for unsafe analgesic use contribute to the problem. As a result, achieving satisfactory analgesia while minimizing side effects remains particularly challenging for emergency physicians, both in the emergency department and after a patient is discharged. Improvements in rapid pain assessment and in evaluation of noncommunicative populations may result in a better estimation of which patients require analgesia and how much pain is present. New formulations of available treatments, such as rapidly absorbed, topical, or intranasal nonsteroidal anti-inflammatory drug formulations or intranasal opioids, may provide effective analgesia with an improved risk-benefit profile. Other pharmacological therapies have been shown to be effective for certain pain modalities, such as the use of antidepressants for musculoskeletal pain, γ-aminobutyric acid agonists for neuropathic and postsurgical pain, antipsychotics for headache, and topical capsaicin for neuropathic pain. Nonpharmacological methods of pain control include the use of electrical stimulation, relaxation therapies, psychosocial/manipulative therapies, and acupuncture. Tailoring of available treatment options to specific pain modalities, as well as improvements in pain assessment, treatment options, and formulations, may improve pain control in the emergency department setting and beyond.

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“…Acupuncture is a viable alternative for the treatment and management of acute and chronic pain across various illnesses [22,103,113,114,115]. One overview of Cochrane reviews concluded that acupuncture demonstrates effectiveness as a treatment for pain associated with migraines, tension headaches, neck disorders, arthritis, and low back pain [104].…”

Section: The Mind–body Approach To Painmentioning

confidence: 99%

A Mind–Body Approach to Pediatric Pain Management

2017

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Pain is a significant public health problem that affects all populations and has significant financial, physical and psychological impact. Opioid medications, once the mainstay of pain therapy across the spectrum, can be associated with significant morbidity and mortality. Centers for Disease and Control (CDC) guidelines recommend that non-opioid pain medications are preferred for chronic pain outside of certain indications (cancer, palliative and end of life care). Mindfulness, hypnosis, acupuncture and yoga are four examples of mind–body techniques that are often used in the adult population for pain and symptom management. In addition to providing significant pain relief, several studies have reported reduced use of opioid medications when mind–body therapies are implemented. Mind–body medicine is another approach that can be used in children with both acute and chronic pain to improve pain management and quality of life.

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Degree of Knowledge of Health Care Professionals About Pain Management and Use of Opioids in Pediatrics

Cited by 34 publications

References 32 publications

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Healthcare Providers’ Knowledge and Current Practice of Pain Assessment and Management: How Much Progress Have We Made?

Improving acute pain management in emergency medicine

A Mind–Body Approach to Pediatric Pain Management

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