Pain: maternal and child health Flashcards
pain is both hurtful and _____ (mentally) to kids
confusing
preschoolers and young kids lack a sense of ___ which makes it difficult to explain to them when their pain will go away
time
what age can a kid indicate where thyre feeling pain by pointing
3
what ages cn rate their pain on a scale of 1-10
older s age and ados
why might a kid be reluctant to admit pain
how can you address this
fear of getting shot as Tx
advocate for oral analgesia, PC analgesia, intermittent IV
is there much chance of kids getting narcotic dependent
no. little risk
T or F resp depression is more likely in kids than adults
\F. makes it sound like theyre equal
how can you assess whether an nalgesic was effective for kid
nonverbal cues
vitals
childs statements
where do pain impulses join CNS fibres
dorsal horn of spinal cord
somatic pain=
eg
pain that originates from deep body structures eg muscles or bones
eg sprained ankle
pain that arises from mucous membranes is an example of
describe this type of pain
cutaneous pain
pain that arises from superficial structures such as skin and mucous membranes
pain that arises from internal organs=
visceral pain
eg appendicitis
pain threshold in kids is most influnced by
genetics
pain tolerance is most affected by
cultural influences
gate control theory of pain: how an gating mechanisms be stimulated
cutaneous stim
distraction
anxiety reduction
pain in the presence of anxiety in kids affects pain how
child perceives it more quickly
how can you assist in providing good pain assessment. who and how do you educate
parents may refrain from telling you kids in pain bcause they think ur expert
HCW may rely on parents
kids may not know pain can be taken care of and not report
to prevent this, tell everyone how pain willbe assessed, everyones role and whats avail for pain relief helps ensure these misunderstandings dont occur
what is the chief mark in -infants- that pain is present
they cant be comforted completely
which type of infant has most difficulty in making distress response
preterm neonate
why is pain diff to assess in toddlers and preschoolers
(not much specifically on preschoolers) 3 items
-diff because they lack vocab
-use their words
-diff comparing pain to past pain as lack experience
-
-
considerations for pain in
preschoolers-4 items
- egocentric, think adults know already
- may think pain is punishment
- may be diff to comfort as they dont have perception of time (its only for minute)
- may regress
preschooler. another way to eval if analgesia is working
if they resume their normal behaviour after (info from parents)
why might preadolescents have difficulty describing their pain
they think concretely cant conceive that sharp means both knife and quality of pain in abdomen
are school age kids old enough to control pain through nonpharm measures eg distraction
yes
