Procedural pain and anxiety in paediatric patients in a Mexican emergency department

Ortiz, Mario I.; López‐Zarco, M.; Arreola-Bautista, Edna J.

doi:10.1111/j.1365-2648.2012.05969.x

Cited by 45 publications

(27 citation statements)

References 70 publications

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“…Several mechanisms are included in the experience of pain such as the sensitive (peripheral pain receptors), cognitive, affective and emotional mechanisms, and past experiences (Shankland, 2011). How children experience NRMPs results from a combination of these mechanisms, which are also based on the individual child, the type of procedure (Ortiz, López-Zarco, & Arreola-Bautista, 2012), and the supporting capacity of the parents (Taddio et al, 2010). …”

Section: Introductionmentioning

confidence: 99%

Parents’ perspectives on supporting children during needle-related medical procedures

Karlsson

Englund

Enskär

et al. 2014

International Journal of Qualitative Studies on Health and Well

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When children endure needle-related medical procedures (NRMPs), different emotions arise for the child and his/her parents. Despite the parents’ own feelings, they have a key role in supporting their child through these procedures. The aim of this study is to describe the meanings of supporting children during NRMPs from the perspective of the parents. Twenty-one parents participated in this study. A reflective lifeworld research (RLR) approach was used and phenomenological analysis was applied. The essential meaning of the phenomenon—supporting children during an NRMP—is characterized as “keeping the child under the protection of one’s wings,” sometimes very close and sometimes a little further out under the wingtips. The essential meaning is additionally described through its constituents: paying attention to the child’s way of expressing itself, striving to maintain control, facilitating the child’s understanding, focusing the child’s attention, seeking additional support, and rewarding the child. The conclusion is that parents’ ability to be supportive can be affected when seeing their child undergo an NRMP. To regain the role as the child’s protector and to be able to keep the child “under the protection of one’s wings,” parents need support from the staff.

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Section: Introductionmentioning

confidence: 99%

Parents’ perspectives on supporting children during needle-related medical procedures

Karlsson

Englund

Enskär

et al. 2014

International Journal of Qualitative Studies on Health and Well

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show abstract

“…This environment may be new and unknown to children, and following anxiety is often experienced by children undergoing healthcare procedures in general (Coyne ) and, in particular, acute procedures such as in the emergency department (Ortiz et al . ) or during a radiographic examination (Björkman et al . ).…”

Section: Introductionmentioning

confidence: 99%

Peri‐radiographic guidelines for children with autism spectrum disorder: a nationwide survey in Sweden

Björkman

Berglund

Enskär

et al. 2016

Child

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“…As a category of acute pain, children have identified diagnostic and monitoring procedures as the most feared and painful of events (Cummings, Reid, Finley, McGrath, & Ritchie, 1996; Kortesluoma & Nikkonen, 2004; Liossi, 2002; Petovello, 2012). The most common source of procedural pain has been documented to be needle pain (Blount, Piira, & Cohen, 2003; Cohen, 2002; Ortiz, Lopez-Zarco, & Arreola-Bautista, 2012; Rogers & Ostrow, 2004; Uman, Chambers, McGrath, & Kisley, 2006). …”

mentioning

confidence: 99%

Pediatric Procedural Pain: How Far Have We Come? An Ethnographic Account

Cummings

2015

Pain Management Nursing

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In this ethnographic study, the author explores the pediatric procedural pain management practice of healthcare providers in a non-pediatric emergency department. Data were collected for 5 months with over 100 hours of observation. Six key informants were interviewed, and 44 pediatric procedural interactions with 27 healthcare providers during the treatment of children two to eight years of age undergoing procedures were observed. Other information gathered included documents from the institution, and pain related information from the patient’s medical record. Two major themes with categories are discussed, the treatment of pain, and procedural pain. The findings of this study provide insight to the everyday practice of emergency department healthcare providers for pediatric pain in a non-pediatric setting, and identify practice issues that may adversely affect the management of pediatric procedural pain, notably the non-use of pharmacological techniques for simple needle procedures and the common use of physical restraint during painful procedures.

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Procedural pain and anxiety in paediatric patients in a Mexican emergency department

Abstract: This study provides data on common emergency department procedures that cause pain and anxiety in children and young adolescents. Healthcare providers must consider the best psychological and pharmacological interventions to reduce procedural anxiety and pain.

Cited by 45 publications

References 70 publications

Parents’ perspectives on supporting children during needle-related medical procedures

Parents’ perspectives on supporting children during needle-related medical procedures

Peri‐radiographic guidelines for children with autism spectrum disorder: a nationwide survey in Sweden

Pediatric Procedural Pain: How Far Have We Come? An Ethnographic Account

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