Management Of Acute Pain In Pediatrics Discussion

Management Of Acute Pain In Pediatrics Discussion

Management of Acute Pain in Pediatrics

This module has greatly improved my acute pain management strategies, especially in pediatric patients. Pediatric patients require special consideration because they cannot express themselves clearly. It is up to the healthcare provider to assess the patient and know when acute pain medications are required. In this module, I have learned how to assess and quantify pain based on the pain assessment and management initiative (PAMI) guidelines. The five-step approach to assessing pain will greatly improve how I manage acute pain. The approach involves getting the Onset, provocation/palliation, quality, region, severity timing, associated symptoms, and pertinent negatives. Considering all these factors will significantly influence the choice of medication and the dosage in the process of acute pain management Management Of Acute Pain In Pediatrics Discussion .

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The most impactful content in this module is the assessment of acute pain in pediatric patients. Notably, acute pain may lead to variation in vital signs and other physiological parameters such as blood pressure in pediatric patients. Crying implies mild to moderate pain in pediatric patients. Severe pain is accompanied by crying and changes in some physiological parameters. For example, blood pressure, heart rate, and breathing rate may be elevated in a patient who is in severe pain. Jerk movements, tremors, increased spasticity, and verbal outbursts may also indicate pain in pediatric patients; therefore, differential diagnosis is critical. A family member or the patient’s caregiver should be educated and involved in developing the acute pain management plan. Narcotic analgesics are only essential in managing severe pain in pediatric patients (Nelson et al., 2019).

Reference

Nelson, S. E., Adams, A. J., Buczek, M. J., Anthony, C. A., & Shah, A. S. (2019). Postoperative pain and opioid use in children with supracondylar humeral fractures: balancing analgesia and opioid stewardship. JBJS, 101(2), 119-126.

Please use website below for your info. Look for module 5 :Managing Pediatric Pain in Acute Care Settings

https://pami.emergency.med.jax.ufl.edu/e-learning-modules/pami-module-downloads/

First page write: answer question 1 & 2 double space, does not need to be full page.

1. How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes? 1 reference please.

This module is formative info…. This subject is out of my comfort zone , however after learning about this module I learn a lot and can apply this knowledge to use with pediatric pt for future career. Especially Recognition and Assessment of Pediatric Pain (look at this title)…. Management Of Acute Pain In Pediatrics Discussion

 

2. What content in this module made the most impact in the way you think about pain management and possibly effecting your practice? 1 reference.

As mention in question 1, Recognition and Assessment of Pediatric Pain…. And the second is that Learn How to Observe Pain by Development (look at this title)……

 

Second page response to Julissa only one for ½ paragraph for 1 subject and one reference is ok with me,  and another half repones to Yanelis.

 

Repones to Julissa posting

How will you use the knowledge you have gained from this module to improve your patient’s pain management in various settings to improve their pain outcomes?

This module has taught me a lot about pediatric pain assessment. When a child is in pain, their vital signs may be altered (high blood pressure, heart rate, and respirations). I did not know that flushing and pupil dilation may be a sign of pain. A standardized pain tool may be used on assessment, but it must be modified according to the child’s cognitive ability, age, language, and institution protocol. Physiologic differences in children may influence drug distribution or elimination from the body. These things should be kept in mind when working with pediatric patients.

What content in this module made the most impact in the way you think about pain management and possibly effecting your practice?

I was aware that pain had some psychological impact on children but I was not sure of the specifics. Developmental age, past experiences, temperament, and coping methods all influence pain memory. Treatment may require the use of a Child Life specialist to aid with the use of nonpharmacological interventions, such as distractions. Additionally, treating pain in children may be a bit more tedious given that they may not disclose pain for fear of treatment or desire to return to their day-to-day normal. For pediatrics, the dosing may be based off the child’s weight. This makes calculation more complex but necessary Management Of Acute Pain In Pediatrics Discussion .

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Response Yanelis posting

This module has introduced me to the concept of pediatric pain and its assessment. I have learned that pediatric pain signifies a different construct altogether since children might lack the developmental abilities to describe the pain that they are experiencing. Based on these considerations, it becomes a nurse’s prerogative to interpret pain levels. I was unaware that infants wielded a neural pathway responding to painful stimuli. I have realized that there exist biochemical, anatomical, and physiological prerequisites for pain perception from early intrauterine life. Moreover, the module has taught me that numerous factors impact nurses’ cognizance of pediatric pain. Specifically, these include knowledge and education deficits, personal beliefs regarding pain in youngsters, and the decision-making approach. With the knowledge gained in the module, I will avoid negating children’s pain. I will similarly employ my knowledge in standardized pain assessment tools and ensure that pain management incorporates a child health specialist guiding nonpharmacological aspects. The content that has significantly impacted the way I perceive pain management and that has a possible impact on my practice is the role of distraction in pain assessment. The concept has been broadly explored across literature and Cochrane reviews and has been classified as a psychologically cost-effective nonpharmacologic intervention (Bukola & Paula, 2017). Notably, it is necessary to effectively utilize the a pain distraction toolkit as it allows improving health outcomes. With the new information, I will surely change my approach to pediatric pain assessment and management in the future. I will utilize distraction to ensure a positive experience towards attaining desired health outcomes Management Of Acute Pain In Pediatrics Discussion .

References

Bukola, I. M., & Paula, D. (2017). The effectiveness of distraction as procedural pain management technique in pediatric oncology patients: A meta-analysis and systematic review. Journal of Pain and Symptom Management, 54(4), 589–600. https://doi.org/10.1016/j.jpainsymman.2017.07.006 Management Of Acute Pain In Pediatrics Discussion