Doutor, acho que meu bebê está com dor: avaliação da dor de lactentes por profissionais de saúde

Abstract

It was not that long ago that some health professionals did not believe infants could feel pain. Infants were not always given analgesics in the postsurgical period and sometimes during the surgery itself. Pain was not recognized as an important treatable symptom, and therefore was rarely assessed. It Disagreement between parents and health care professionals has been shown in the past for infants and toddlers, 3 but also between health professionals 4 and between children and parents. 5 Using a VAS as a global pain assessment score by proxy may increase the risk of disagreement. The VAS is an observational scale in which each observer uses a collection of behavioral cues, which they interpret in the context of their own experience. In particular, the meaning of the anchor

Dor pós-operatória em crianças: uma abordagem de gênero

“…Most children indicated pain during the first PO day, most of whom at the time of data collection, raising inquiries on the adequacy of pain management in this group. The importance of health professionals' acknowledgement of children's pain response is highlighted, as well as the prescription and administration of analgesics (2,(18)(19) , with a view to avoiding the harmful effects of pain. In addition, these professionals' perception of children's sex/ gender and their gender understanding can influence adequate management of this experience (19) .…”

“…intRodUction Postoperative pain represents an obstacle for quality of life in pediatrics and adequate management of this experience represents a challenge to be solved in the surgical context. It is undeniable that, in many children, pain is still insufficiently assessed and treated, despite the advances achieved in the study of the pain phenomenon (1)(2)(3) .…”

“…Limited improvements have been appointed in pain management in children (2,4) , although various instruments have been described to measure and assess pain in childhood. Obstacles are frequently related to the scales' unproven validity and inadequacy for all age groups.…”

Intervenções não farmacológicas no controle da dor em cuidados intensivos neonatais

“…Por muito tempo, acreditou-se que os neonatos eram incapazes de perceber sensações dolorosas, especialmente os pré-termos devido à imaturidade neurológica 4 . Somente no fi nal dos anos de 1980, pesquisas passaram a abordar a existência da dor neonatal e atentar para a necessidade de analgesia durante os procedimentos de rotina de uma internação hospitalar [5][6] . Portanto, a avaliação da dor de neonatos em ambientes de cuidado cujo cotidiano caracteriza-se pela prevalência de intervenções, por vezes, dolorosas, como Unidades de Terapia Intensiva Neonatal (UTIN), deve receber especial atenção dos profi ssionais de saúde que nestas atuam [7][8][9] .…”