Parental opinions regarding the route of administration of analgesic medication in children

Seth, Neena; Llewellyn, Noelle; Howard, Richard

doi:10.1046/j.1460-9592.2000.00564.x

Cited by 21 publications

(16 citation statements)

References 13 publications

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“…Children are afraid of any intramuscular shots and they dislike suppositories [30]. While children's dislike of suppositories may be age-and culturally-related, the parental opinion is that the rectal route is the most unpopular [110].…”

Section: Administration Routesmentioning

confidence: 99%

Current management of pediatric postoperative pain

Kokki¹

2004

Expert Review of Neurotherapeutics

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Pain is a common complaint in children after surgery. Four out of five children require analgesia even after minor surgery, and after more extensive surgery, significant postoperative pain may last for weeks. Severe pain during, and after surgery may aggravate long-lasting negative effects to the body and mind. In order to prevent harmful effects, all children should be provided with effective analgesia. Pain management should be safe and easy to administer. Postoperative pain management in children has improved substantially during the last 5 years. Recent trials indicate that children may undergo major surgery with minimal untoward effects when effective proactive pain management is provided. This review will focus on new clinical strategies on pain management in children. Since most pediatric surgery is performed as a day-case or short-stay basic recommendations for parental guidance and pain management after discharge are also presented.

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Section: Administration Routesmentioning

confidence: 99%

Current management of pediatric postoperative pain

Kokki¹

2004

Expert Review of Neurotherapeutics

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“…Opinion surveys have been widely used in medicine to facilitate understanding of caregiver and patient experiences in health care [Borzekowski and Poussaint, 1999;Seth et al, 2000]. Staff opinion surveys have been underutilized in clinical psychiatric research on aggression and violence.…”

Section: Introductionmentioning

confidence: 99%

Staff survey results and characteristics that predict assault and injury to personnel working in mental health facilities

Cunningham

Connor

Miller

et al. 2003

Aggressive Behavior

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The purpose of this study was to complete a mental health staff opinion survey to identify patient and staff characteristics associated with staff assault and injury in psychiatric treatment settings and to develop a model of prediction for staff assault and injury utilizing these survey variables. The data consisted of opinion surveys sent to staff of 15 child, adolescent, and adult psychiatry inpatient units in the United States. Multivariate logistic regression was used to determine the level of assault and staffreported injury prediction that could be obtained from the staff-completed opinion survey. Responses indicated a high prevalence of reported aggression, with 62.3% of staff endorsing verbal and physical aggression, property destruction, and self-injurious behavior as being prevalent at their site, whereas only 4.1% rated none of these as prevalent. Staff working with children and adolescents in settings with high rates of psychiatric diagnoses reported increased frequency of assault and injury compared with those working with adults. Younger, less experienced staff reported higher rates of assault and injury. Staff working with female patients reported similar rates of assault and injury to those working with males. A logistic regression analysis using staff-reported survey results of both staff and patient characteristics predicted assault correctly 73.7% of the time and injury 66.1% of the time. Resources for violence prevention and staff training programs in violence prevention are needed in child and adolescent psychiatry wards. Results are consistent with theories emphasizing the importance of negative emotions and affects, impulsivity, and frustration in goal-directed activities in human aggression.

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“…This finding is similar to data found in a previous study evaluating different methods of postoperative pain control that showed that the rectal route was the most unpopular method, especially for older children. Parents' or a child's limited knowledge and experience with this route of administration may also be important determining factors 13 …”

Section: Discussionmentioning

confidence: 99%