Pediatric Pain Flashcards
classifications of pain
duration, etiology (nociceptive/neuropathic), source (somatic/visceral)
pain factors
age, gender, cognitive level, temperament, previous pain,
Infant pain indications
expression, body, crying, HR, RR, BP, O2, vagal tone, palmar sweating, plasma cortisol or catecholamine
toddlers
verbalization, use of simple words
preschoolers
may not verbalize– think its expected or adults are aware
school age
communicate type, location, severity, fear about illness and effects
adolescent
body image concern, loss of control, refusal of med/care
QUESTT
question, use scale, evaluate behavior, secure parent involvement, take account of cause, take action
History
location, quality, severity, onset, circumstance, conditions, symptoms, trauma
CRIES for neonates
crying, requires o2, expression, sleeplessness
FLACC for young children
face, legs, activity, cry, consolability
behavioral/cognitive pain interventions
relaxation, distraction, imagery, thought stopping, self talk
biophysical interventions
sucking/sucrose, heat/cold, massage/pressure
procedure related pain management
topical anesthetic, prepare before, smelled gauge, venipuncture over heel stick, kangaroo care newborns post heel stick, sucking before
chronic pain effects
sleep disturbances, exhaustion, irritability, mood disturbances, depression
