Managing Acute Pain in Children

Dowden, Stephanie J.

doi:10.1002/9781444322743.ch7

Cited by 4 publications

(5 citation statements)

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“…2005, Megens et al. 2008, Dowden 2009, Stinson & Bruce 2009). Developing and using algorithms from best practice guidelines would remove much of the stress associated with decision‐making and would guide nurses through the process in a step‐by‐step way.…”

Section: Discussion: the Way Forwardmentioning

confidence: 99%

Managing pain in children: where to from here?

Twycross

2010

Journal of Clinical Nursing

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Section: Discussion: the Way Forwardmentioning

confidence: 99%

Managing pain in children: where to from here?

Twycross

2010

Journal of Clinical Nursing

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Section: Pain Management Modelsmentioning

confidence: 99%

“…To better conceptualise pain management in children, some authors have outlined potential contributing factors, barriers and consequences encountered throughout the continuous, systematic process, but the conceptual model for paediatric pain management has not been revised since 2003 (Dowden, 2009; Twycross, 2009). A recent medical model by Krauss et al (2016) does include parents as potential partners in a pain management process similar to the 2003 nursing model (Broome & Huth, 2003); however, Krauss' model fails to acknowledge any influences brought to the process by the clinicians, patients or parents, and is specific to physicians and the Emergency Department setting.…”

Section: Introductionmentioning

confidence: 99%

“…Despite research efforts to understand pain in infants and children and improve the pain management process, acute pain in hospitalised children remains under‐assessed and ineffectively managed, with up to 76% of hospitalised children reporting pain and over 50% rating their pain as moderate to severe (Friedrichsdorf et al, 2015; Shomaker et al, 2015; Stevens et al, 2012). Suboptimal pain management results in long‐ and short‐term consequences including negative effects on mortality, morbidity, length of stay and healing, and potential development of pain hypersensitivity, emotional trauma, avoidance of health care, cognitive changes and poor mood regulation (Attarian et al, 2014; Dowden, 2009; Marshall et al, 2018; Twycross, 2009; Valeri et al, 2015).…”

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confidence: 99%

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Transforming acute pain management in children: A concept analysis to develop a new model of nurse, child and parent partnership

Eull

Looman

O’Conner-Von

2023

Journal of Clinical Nursing

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Objectives:To identify the core components of acute pain management in children, re-conceptualise the process and update the existing model to inform nursing research and clinical practice.Background: Acute pain in hospitalised children remains suboptimal, despite extensive nursing research and education. Improvements require a patient-centred approach and a conceptual model which includes the role of parents and partnership.Design: Using Rodgers' Evolutionary method, a concept analysis was conducted to define the core components for effective acute pain management in children. Methods:A scoping review of peer-reviewed literature from 1990 through 2020 was conducted using the terms "pain management," "pain control," "pain treatment," "multi modal," and "concept*". Abstracts from 85 articles were initially reviewed with 30 articles retained for analysis. Core concepts were identified, defined and synthesised.The PRISMA 2020 checklist was used.Results: A new model was developed from a synthesis of past work which incorporates the role of parents, the complexity of the process and definitions for shared decision-making. Trust, safety, collaborative communication and genuine partnership were identified as the core components for effective pain management in children, with the triadic relationship of nurses, patients and parents in genuine partnership foundational to the nursing process. Conclusion: The new model for acute pain management in children transforms the nurse's role from gatekeeper to facilitator, shifting the process from nurse driven to patient-centred. The new collaborative model will promote shared decision-making for individualised pain assessments, interventions and evaluations. Relevance to clinical practice: Establishing the nurse, child, parent partnership as an essential foundation to pain management has the potential to expand pain | 5231 EULL et al.

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“…Therefore, there is less literature and fewer classifications for this type of pain. Acute pain states are usually easily managed with minor care, but eventually may need more intensive medical care, depending on the level of the pain (Dowden, 2008).…”

Section: Acute and Chronic Painmentioning

confidence: 99%

Gamification and biofeedback for acute pain management

Viana,

Szekely

2023

Preprint

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In this pilot study, two gamification methods were used to control pain, while assessing participants' pain experiences. We applied two baselines and two test conditions in a within subject design. In the latter, EDA biofeedback was used within an effortful control task (Calm The Waves) as well as a visual distraction task: the Hidden Objects Game. Both methods were hypothesized to reduce the subjective and objective (psychophysiological) pain experience in the Cold Pressor Test, a common test of induced acute pain. Participants were invited to immersetheir hand in an iced-water tank for a maximum of 2 minutes. We had a total of 22 participants, however, 2 had to be excluded as per not meeting the inclusion criteria. The main outcome expected was pain resistance over the two-minutes tasks, measured objectively by the EDA levels and subjectively, by the Visual Rate Scale. In addition, we expected that previous CTW training would be an important factor in pain experience. We found that the level of EDA was different in the four conditions, however, regardless of the initial EDA level we could detect a decrease throughout the painful stimulation In conclusion, both methods were efficient to reduce objective and subjective pain. This pilot study opens a door for further explorations with Biofeedback as a promising technique in pain management.

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Managing Acute Pain in Children

Cited by 4 publications

References 61 publications

Managing pain in children: where to from here?

Managing pain in children: where to from here?

Transforming acute pain management in children: A concept analysis to develop a new model of nurse, child and parent partnership

Gamification and biofeedback for acute pain management

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