Pediatric pain: prevalence, assessment, and management in a teaching hospital

Autor: Carolina Araujo Rodrigues Funayama, L.R.G. Rossi, Rafaela Guilherme Monte Cassiano, Maria Beatriz Martins Linhares, F.N.P. Doca, Francisco Eulógio Martinez, Ana Paula de Carvalho Panzeri Carlotti, Luzia Iara Pfeifer, Gordon Allen Finley
Jazyk: angličtina
Rok vydání: 2012
Předmět:
Clinical audit
Pediatrics
Physiology
Psychological intervention
Biochemistry
0302 clinical medicine
Pacientes hospitalizados
Pain assessment
Surveys and Questionnaires
Prevalence
Medicine
Practice Patterns
Physicians'
General Pharmacology
Toxicology and Pharmaceutics
Child
lcsh:QH301-705.5
Nursing Assessment
Pain Measurement
lcsh:R5-920
Family caregivers
General Neuroscience
General Medicine
3. Good health
Policy
Caregivers
Child
Preschool
lcsh:Medicine (General)
medicine.medical_specialty
Adolescent
Short Communication
Immunology
Biophysics
MEDLINE
Pain
Teaching hospital
03 medical and health sciences
030225 pediatrics
Intervention (counseling)
Humans
Pain Management
Dor em crianças
Hospitals
Teaching
Inpatients
business.industry
Infant
Newborn
Infant
Cell Biology
lcsh:Biology (General)
Pediatric pain
Physical therapy
business
030217 neurology & neurosurgery
Zdroj: Brazilian Journal of Medical and Biological Research v.45 n.12 2012
Brazilian Journal of Medical and Biological Research
Associação Brasileira de Divulgação Científica (ABDC)
instacron:ABDC
Brazilian Journal of Medical and Biological Research, Vol 45, Iss 12, Pp 1287-1294 (2012)
Brazilian Journal of Medical and Biological Research, Volume: 45, Issue: 12, Pages: 1287-1294, Published: DEC 2012
Repositório Institucional da UnB
Universidade de Brasília (UnB)
instacron:UNB
Popis: The goal of this study was to examine the prevalence, assessment and management of pediatric pain in a public teaching hospital. The study sample consisted of 121 inpatients (70 infants, 36 children, and 15 adolescents), their families, 40 physicians, and 43 nurses. All participants were interviewed except infants and children who could not communicate due to their clinical status. The interview included open-ended questions concerning the inpatients’ pain symptoms during the 24 h preceding data collection, as well as pain assessment and pharmacological/non-pharmacological management of pain. The data were obtained from 100% of the eligible inpatients. Thirty-four children/adolescents (28%) answered the questionnaire and for the other 72% (unable to communicate), the family/health professional caregivers reported pain. Among these 34 persons, 20 children/adolescents reported pain, 68% of whom reported that they received pharmacological intervention for pain relief. Eighty-two family caregivers were available on the day of data collection. Of these, 40 family caregivers (49%) had observed their child’s pain response. In addition, 74% reported that the inpatients received pharmacological management. Physicians reported that only 38% of the inpatients exhibited pain signs, which were predominantly acute pain detected during clinical procedures. They reported that 66% of patients received pharmacological intervention. The nurses reported pain signs in 50% of the inpatients, which were detected during clinical procedures. The nurses reported that pain was managed in 78% of inpatients by using pharmacological and/or non-pharmacological interventions. The findings provide evidence of the high prevalence of pain in pediatric inpatients and the under-recognition of pain by health professionals.
Databáze: OpenAIRE
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