Pain, Ranges Flashcards
Pain young infant
Rigidity, thrashing, crying, facial expression
Pain older infant
Localized body response. Loud crying, facial expression, physical resistance
Young child pain
Loud crying, screaming, “ouch”, thrashing, lack of cooperation, clinging to parent, restless
School age pain
Stalling behaviors, muscular rigidity, gritted teeth
Adolescent pain
Less vocal protests, more verbal expressions, increased muscle tension
Pain scales and when to use
0-10 numerical pain scale
Children greater or equal to 8 yrs old
FLACC score → face, legs, activity, cry, consolability
2 months to 7 years of age
Wong-baker FACES pain scale
Anyone greater than or equal to 3 years old
Physiological response to pain
Variations in vital signs
Decreased Oxygenation
Diaphoresis
Dilated pupils, increased muscle tone
Concept of death and dying infant and toddlers
no concept of death, egocentric thinking, mirror parents, may see regression
Concept of death and dying Preschool
egocentric thinking, magical thinking, view dying as temporary (no concept of time), can also feel guilty
Concept of death and dying School age
respond to logical explanations, begin with adult concept of death, fear of disease, curious about after death issues
Concept of death and dying adolescents
adult-like concept of death
Difficulty accepting death, rely more on peers,
trend for vs child and adult
Pulse and RR faster in children vs adults
BP is lower vs adults
Pulse newborn vs children
Newborns high pulse 100-160
Children mod high pulse 70-120
RR newborn vs children
Newborns RR high 30-60 bpm
Children mod high 20-30 bpm
BP newborn vs children
Newborns BP low 65-90/45-65
Children mod low 90-110/55-75
