Physicians?? Attitudes toward Pain in Children

Schechter, Neil L.; Allen, Deborah I.

doi:10.1097/00004703-198612000-00004

Cited by 48 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Four studies that are almost invariably cited in the literature on pain in support of the assumption that children are given insufficient pain‐relieving medication ( Eland & Anderson 1977, Beyer et al . 1983 , Mather & Mackie 1983, Schechter et al . 1986 ) provided the starting point for this investigation.…”

Section: Introductionmentioning

confidence: 99%

Are children given insufficient pain‐relieving medication postoperatively?

Hamers¹,

Abu‐Saad²,

Hout³

et al. 1998

Journal of Advanced Nursing

View full text Add to dashboard Cite

The literature often suggests and assumes that children are under-medicated postoperatively. A review of the literature leads to the conclusion that only a few studies answer the question of whether children's pain is relieved insufficiently. The lack of consensus on expected pain intensity after surgery and caution about prescribing analgesics could explain why analgesics are often prescribed on a pro re nata (prn) basis. Prescription on a prn basis, in fact, means that the nurse makes the decision whether or not an analgesic should be administered. Some studies suggest, however, that nurses under-medicate children and that postoperative pain is relieved insufficiently. In some situations, nurses under-estimate the child's pain, while in others, nurses' attitudes, beliefs and knowledge regarding pain relief strategies play an important role. On the basis of this review of the literature standard prescription of pain medication instead of prn is recommended. Furthermore, research on the incidence and prevalence of pain in children and on the effectiveness of analgesic administration postoperatively is warranted.

show abstract

Section: Introductionmentioning

confidence: 99%

Are children given insufficient pain‐relieving medication postoperatively?

Hamers¹,

Abu‐Saad²,

Hout³

et al. 1998

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…19 This study suggests that the specialised team were effectively identifying and managing symptoms, and the disproportionate increase in morphine prescriptions (nearly threefold) suggests that children may have previously been receiving suboptimal symptom control.…”

Section: Improved Pain and Symptom Controlmentioning

confidence: 82%

The Beginnings of Children's Palliative Care in Africa: Evaluation of a Children's Palliative Care Service in Africa

Amery¹,

Rose²,

Holmes³

et al. 2009

Journal of Palliative Medicine

View full text Add to dashboard Cite

The study suggests affordable, nurse-led, volunteer-supported children's palliative care services are both achievable and effective in sub-Saharan African. The study suggests that palliative care units should provide a specialized service focused on children. Such a service would clearly identify children in need of children's palliative care and should provide medication for symptom control; food and basic needs support; play and learning facilities; child protection; and systems for patient education, communication and follow up. Staff lack confidence and/or competence and this is a significant barrier to children's palliative care that should be addressed in Africa.

show abstract

“…When comparing prescription and administration of narcotics to adult and child patients following cardiac surgery, Beyer, DeGood, Ashley, and Russell (1983) found that children had fewer doses of narcotics prescribed for shorter periods of time than adult patients. Congruent with these findings, Schechter and Allen (1986) found that infants and young children were less likely to have narcotics ordered for pain than older children.…”

mentioning

confidence: 85%

Children's Ratings of Postoperative Pain Compared to Ratings by Nurses and Physicians

LaMontagne

Johnson

Hepworth

1991

Issues in Comprehensive Pediatric Nursing

View full text Add to dashboard Cite

Children's ratings of their postoperative pain were compared to nurses' and physicians' ratings of the children's postoperative pain. Children and adolescents were able to rate their pain using a visual analogue scale (VAS). Although there were differences between groups on their mean pain ratings, the ratings of the nurses and physicians correlated significantly with the children's pain ratings. Also, the correlation between nurses and physicians was highly significant, indicating that the use of a VAS may help nurses and physicians explore the cues used to estimate children's pain. This dialogue may enhance communication and collaboration between professionals about pain management strategies specific to each child's pain experience.

show abstract

Physicians?? Attitudes toward Pain in Children

Cited by 48 publications

References 0 publications

Are children given insufficient pain‐relieving medication postoperatively?

Are children given insufficient pain‐relieving medication postoperatively?

The Beginnings of Children's Palliative Care in Africa: Evaluation of a Children's Palliative Care Service in Africa

Children's Ratings of Postoperative Pain Compared to Ratings by Nurses and Physicians

Contact Info

Product

Resources

About