The Effects Of Sucrose On Minimizing Acute Pain

Special care and attention must be given to infants in the Neonatal Intensive Care Unit (NICU) because of their small size and the health complications they face. One particular challenge faced by health care professionals in the NICU is the management of pain for preterm babies. Preterm infants must undergo a wide range of tests, procedures, and, often, life-saving measures during their hospitalizations, which not only subjects them to pain, but pain-related stress and anxiety. This has an impact on the infants themselves, as well as on the family members and friends who are involved in their care (Smith, Steelfisher, Salhi, & Shen, 2012). The purpose of this paper is to examine the problem of pain management among preterm NICU patients and propose the implementation of kangaroo care as a pain management technique.

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,

Why would delayed cord clamping even be a topic of discussion or in practice if it was not beneficial to some degree for the neonate or mother? Early cord clamping takes place almost immediately after delivery and delayed cord clamping is preformed anywhere for 30-180 seconds after birth. The validity of the above question has been on the rise for some time. Why some doctors have made it protocol during a delivery or simply do it only if requested is still not yet understood. Some would say there are little benefits to waiting to clamp the umbilical cord after delivery, and some say there are many benefits, and then there are those that say there is no difference whether you clamp early or delayed. Throughout my research I have learned that yet some physicians will not wait to clamp the umbilical cord, there are minimal risk, if any, and although at first I thought delayed clamping was without a doubt more beneficial than immediate clamping, they really are not profound in the grand scheme of the neonates’ health. However, I have learned that in the preterm neonate waiting to clamp the umbilical cord can be more beneficial for various reasons than in a full term neonate. Because of the medical background I have, I believe the benefits for both mother and child are important postpartum, however, those that choose to not participate in delayed clamping are not putting their newborn at any risk

In this study the researchers tested the pain responses in newborns who are experiencing heel sticks. They split forty-eight newborns into four categories, each with a different type if milk odor origination. The four groups were: own mother’s breast milk odor, another mother’s breast milk odor, formula milk odor, and a control group (Nishitani, 2009). Different reactions were recorded in the duration of the heel sticks such as crying out, grimacing, and motor activities. Another

Neonatal Nurse Practitioners (NNP) refers to and cares for newborns in their first 28 days of life. Neonatal nurse practitioners practice advanced skills in order to provide care for healthy newborns, as well as newborns who need individualized attention. These nurses care for premature and sick newborns in many different settings: neonatal intensive care units (NICU), emergency rooms, delivery rooms, or specialty clinics(Nurse). NNP’s level of care enables them to preform multiple duties consisting of: monitoring specialized equipment, providing education to the families of the sick newborns, administering medications, preforming diagnostic tests and other procedures in order to establish a treatment plan for the newborns,

Less than 30 years ago the survival rate of premature babies was 25%, now that number has risen to a survival rate of 90%(Dutton, Judy). The increase in this number is most likely due to the advanced medicine and technology and the help of neonatal nurses. By having an advancement in technology and medicine gives us a wider range to work with to help these premature babies survive. Neonatal nurses are there to help contribute to the health of these babies so they can grow strong and healthy. Within nursing, especially neonatal nursing, that has been around since early 1900s have helped save and nurture our babies of the future.

The database was searched for main terms for information on the related topic included oral sucrose, infants, and immunizations. Alternative terms included oral sweeteners, neonates, needles, and analgesia. MeSH terms included Needles*, Sucrose/*administration & dosage, Pain/*prevention & control, Punctures/*adverse effects, Sweetening Agents/*administration & dosage, Humans; Infant; Randomized Controlled Trials as Topic. Inclusion criteria included infants < 1 year of age, publication dates: 2005-2016, randomized control trial, systematic review, USA, glucose/sucrose,

Pediatric pain management is measured subjectively because it is based off of what the patient says or how the nurse interprets the pain scale. Pain is rated using different scales, unfortunately these different scales could yield different results. Nurses are trained to use pediatric pain scales to analyze and treat pain but parents are not supplied with the tools to manage pain when the patient goes home. With 84% of all pediatric surgical procedures performed on an outpatient basis, the importance of teaching parents how to assess for and manage pain has become more important than ever (Rony, Fortier, Chorney, Perret, & Kain, 2010). According to Rony’s et al. (2010) study, it is apparent that pediatric pain is not being treated effectively. The study showed that 58.8% of children were receiving less than the daily recommended does prescribed by the pediatrician (p.1). Results of the study also showed that parents had false assessments on if their child was actually in pain. 36% of parents believed that if their child was in pain, they would cry out for the parent , 30% agreed that their child would always tell them if they are in pain, while 22% said that the child would report their pain immediately (Rony, Fortier, Chorney, Perret, & Kain, 2010, ). Children do not always verbalize when they are in pain. Sometimes the pain can be so intense that a child is unable to talk. If the child catches on to the parents negative perception of pain medications, the child may not

The purpose of this concept analysis is to look at the concept of postoperative pediatric pain management. In nursing, pain is sometimes referred to as the fifth vital sign when performing an assessment. Individuals have many different experiences with pain, perception of pain and the treatment of pain. Pain varies from adults to pediatric patients. This paper will clarify what pain is, define attributes related to postoperative pain, what influences the concept of postoperative pediatric pain and consequences of not dealing with pain. Pain is often misinterpreted as suffering or discomfort. Postoperative pain management is often mistreated and misunderstood and documented by agencies such as the Agency for Health Care Policy and Research, the Joint Commission, and the American Pain Society (Fink, 2000). There is concern in the pediatric population that nurses have misguided beliefs regarding the use of pain medications, such as morphine, and postoperative patients have pain that is not addressed and they remain in pain following a surgical procedure (Van Hulle Vincent, Wilkie, & Wang, 2013).

Pharmacological comfort measures can provide partial or complete pain relief. The epidural is the most efficient way of reducing labor pain. Opioids can be given continuously or in intermittent doses at the patient 's request or through the patient controlled pump. There is the potential for these drugs to have some effect on the fetus, such as breathing difficulties that may require assistance through the use of Narcan. Providing pain relief during the labor process is solely the patient’s choice, and as the nurse only support and encouragement should be given for however she chooses to handle the pain. (Jansen, Gibson, Bowles, & Leach, 2013)

Childbirth is a beautiful thing. After the hours of labor, there is nothing more special than having the newly mother able to hold her child the minute after it’s born. It makes the pain that you had just experienced go away because all that matters in the world is that newborn child in your arms. During labor, every woman has her own experience but one common experience is the pain. According to Kitzinger (1978) “Labor pain can have negative or positive meaning, depending on whether the child is wanted, the interaction of the laboring woman with those attending her, her sense of ease or dis-ease in the environment provided for birth, her relationship with the father of her child and her attitude to her body throughout the reproductive

The nurse would want to ensure adequate nutrition for the baby and preventing aspiration or infection

Preterm newborns are not only premature, but also lack maturity of vital bodily organs. Quality nursing care of preterm newborns is important for their health and well being; also, client education to the parents or parent of the newborn is required since they will need extra care. The preterm infant is born at, or before thirty seven weeks gestation, “The incidence of all preterm births in the United States is approximately 12 %” (Davidson et.al, 2012, p.900). Guidance for adequate care of preterm infants for nurses, and parents will be reviewed in this research by answering the following questions:

Conclusion: NNS intervention shows promise for promoting successful oral feeding in preterm infants. However, limitations and variations in results across studies indicate a need for further research and careful consideration for clinical use.

Babies have no control over what is given to them whether it is good or bad and since they are the newest members of this generation, it is a shame to allow them to live in pain for their first moments of life.