Management Of Acute Pain In Paediatrics Assignment

This module has greatly improved my acute pain management strategies, especially in paediatric patients. Paediatric 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 Paediatrics Assignment

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The most impactful content in this module is the assessment of acute pain in paediatric patients. Notably, acute pain may lead to variation in vital signs and other physiological parameters such as blood pressure in paediatric patients. Crying implies mild to moderate pain in paediatric 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 paediatric 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 paediatric patients (Nelson et al., 2019)Management Of Acute Pain In Paediatrics Assignment.

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.

Response to Julissa

Indeed we have learned a lot in this module about assessing pain in paediatric patients. Implementing points and applying knowledge acquired in this module will significantly improve outcomes of paediatric pain management. I agree with Julissa that assessing the vital signs such as blood pressure, breathing, and heart rate are critical as they may be altered if the patient is in severe pain. The treatment plan for paediatric patients should be made after considering various factors such as age, physiological parameters such as blood pressure, and the ability of the child to metabolize and eliminate the drug (Gerhart et al., 2022)Management Of Acute Pain In Paediatrics Assignment.

Various institutions have guidelines for managing paediatric pain, and it is essential to refer to them in practice. When appropriate, one can apply non-pharmacological remedies for pain management, such as distraction. Pain indeed affects the psychological aspect of the child. The developmental stage of the child significantly influences the effect.

References

Gerhart, J. G., Balevic, S., Sinha, J., Perrin, E. M., Wang, J., Edginton, A. N., & Gonzalez, D. (2022). Characterizing Pharmacokinetics in Children With Obesity—Physiological, Drug, Patient, and Methodological Considerations. Frontiers in Pharmacology, 13, 818726. Management Of Acute Pain In Paediatrics Assignment

Response to Yanelis

It is correct for Yanelis to say that there is both pharmacological and non-pharmacological intervention for acute pain management in pediatric patients. It has come to my attention that the neural, biochemical, anatomical, and physiological prerequisites for pain perception exist before birth. I concur with Yanelis that non-pharmacological interventions such as distraction would be the first line in managing acute pain in pediatrics as they are safe. In addition, non-pharmacological remedies are void of side effects, and free of drug-drug interactions that may occur in the patient is on other medications. One of the challenges of non-pharmacological therapies is that they may be tiresome, especially if they involve physical activity. Conventional medicine is essential in acute pain management when non-pharmacological remedies are ineffective. Analgesics should be used cautiously in pediatrics as their metabolic and drug elimination processes are still developing (Thigpen et al., 2019)Management Of Acute Pain In Paediatrics Assignment.

References

Thigpen, J. C., Odle, B. L., & Harirforoosh, S. (2019). Opioids: a review of pharmacokinetics and pharmacodynamics in neonates, infants, and children. European Journal of Drug Metabolism and Pharmacokinetics, 44(5), 591-609. Management Of Acute Pain In Paediatrics Assignment

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 paediatric pt for future career. Especially Recognition and Assessment of Paediatric Pain (look at this title)….

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)…… Management Of Acute Pain In Paediatrics Assignment

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.

Reponses 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 paediatric 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 paediatric patients.

What content in this module made the most impact in the way you think about pain management and possibly effecting your practice? Management Of Acute Pain In Paediatrics Assignment

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 paediatrics, the dosing may be based off the child’s weight. This makes calculation more complex but necessary.

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Response Yanelis posting

This module has introduced me to the concept of paediatric pain and its assessment. I have learned that paediatric 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 paediatric 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)Management Of Acute Pain In Paediatrics Assignment. 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 paediatric pain assessment and management in the future. I will utilize distraction to ensure a positive experience towards attaining desired health outcomes.

References

Bukola, I. M., & Paula, D. (2017). The effectiveness of distraction as procedural pain management technique in paediatric 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 Paediatrics Assignment