Concept Analysis - Pediatric Procedural Pain

4767 Words20 Pages
Procedural Pain Management for the Early Childhood Patient:
A Multidisciplinary Concept Analysis of Pain
The University of Texas at Arlington College of Nursing

In partial fulfillment of the requirements of
N5327 Analysis of Theories in Nursing
Xxxx, xx
October 8, 2013

Procedural Pain Management for the Early Childhood Patient
Children presenting to the emergency department are often subjected to painful and anxiety-producing procedures, both for diagnostic purposes and for treatment of symptoms. Historically, pediatric patients have not been afforded the same level of care as adults with regard to the management of procedural pain. Pain in the young child age group (1-7 years) has often been under-treated,
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In a study conducted by Hatfield and Young (2007), 1,727 procedures such as venipuncture, intravenous (IV) catheter placement, intramuscular (IM) injections, urinary catheterizations, and nasogastric tube placement in 1,210 children have been reviewed. Their findings reveal that almost none of the patients received pain management. Although traumatic for the patient, these procedures are considered to be minor by many nurses, and the culture of pain management has not been seen as the standard of care (Hatfield & Young, 2007). Nursing staff is encouraged to change the culture by embracing their role as patient advocate. Every patient deserves a triage pain assessment with ongoing assessments as necessary. Pain control measures must be implemented prior to beginning potentially painful procedures. Discussion must take place between the parents and healthcare staff in order to deliver the best comfort measures on a case-by-case basis.
The Academy of Pediatrics and the American Pain Society believe that pain in children is experienced with interrelated factors such as sensory, emotional, cognitive and behavioral, combined with environmental, sociocultural and contextual elements (Stanley & Pollard, 2013). The authors find that pediatric pain often goes under treated. Pain management engages the entire nursing process, placing the nurse’s role as central to its
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