Psychological consequences of ineffective pain management in patients with gynecologic cancer

2018 ◽  
Vol 16 (2) ◽  
pp. 113-125
Author(s):  
Jadwiga Łuczak-Wawrzyniak ◽  
Author(s):  
Juliana H. O’Brien ◽  
Maggie C. Root

Children and infants experience pain as a serious complication of disease and injury, but only recently have clinicians come to understand how children experience pain. Exposure to painful injury is associated with psychological consequences in infants and children, including posttraumatic stress symptoms, neurodevelopmental issues, increased anxiety, and cortical dysfunction in childhood. In seriously ill infants, pain may be associated with increased morbidity and mortality; in older children, untreated pain can lead to decreased functioning, social isolation, sleep disorders, and mood changes. Prevention and relief of pain for this vulnerable population is essential. Pain assessment and management in infants and children require that palliative care nurses understand the developmental stages of childhood. This chapter provides a recommended approach to pain assessment and pain management in children. It outlines age-specific and developmentally appropriate pain assessment tools. It describes commonly observed pain behaviors in verbal and nonverbal children. It highlights the management differences between acute pain, neuropathic pain, and chronic pain. It details a combined nonpharmacologic and pharmacologic (including weight-based dosing) approach for pain management.


BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e023214 ◽  
Author(s):  
Ariane Ballard ◽  
Christelle Khadra ◽  
Samara Adler ◽  
Evelyne D Trottier ◽  
Benoit Bailey ◽  
...  

IntroductionNeedle-related procedures are considered as the most important source of pain and distress in children in hospital settings. Considering the physiological and psychological consequences that could result from these procedures, management of pain and distress through pharmacological and non-pharmacological methods is essential. Therefore, it is important to have interventions that are rapid, easy-to-use and likely to be translated into clinical practice for routine use. The aim of this study will be to determine whether a device combining cold and vibration (Buzzy) is non-inferior to a topical anaesthetic (liposomal lidocaine 4% cream) for pain management of children undergoing needle-related procedures in the emergency department.Methods and analysisThis study will be a randomised controlled non-inferiority trial comparing the Buzzy device to liposomal lidocaine 4% cream for needle-related pain management. A total of 346 participants will be randomly assigned in a 1:1 ratio to one of the two study groups. The primary outcome will be the mean difference in pain intensity between groups during needle-related procedures. A non-inferiority margin of 0.70 on the Color Analogue Scale will be considered. A Non-inferiority margin of 0.70 on the Color Analogue Scale will be considered. The secondary outcomes will be the level of distress during the procedure, the success of the procedure at first attempt, the occurrence of adverse events, the satisfaction of both interventions and the memory of pain 24 hours after the procedure. The primary outcome will be assessed for non-inferiority and the secondary outcomes for superiority.Ethics and disseminationThis study protocol was reviewed and approved by the institutional review board of the study setting. Findings of this trial will be disseminated via peer-reviewed publications and conference presentations.Trial registration numberNCT02616419.


Anaesthesia ◽  
2001 ◽  
Vol 56 (11) ◽  
pp. 1031-1033 ◽  
Author(s):  
C. J. Phillips
Keyword(s):  
The Real ◽  

2020 ◽  
Vol 23 (4) ◽  
pp. 100703
Author(s):  
Shantanu Warhadpande ◽  
Stephanie L. Dybul ◽  
Minhaj S. Khaja

2021 ◽  
Vol 160 (1) ◽  
pp. 234-243
Author(s):  
Diana Samoil ◽  
Nazek Abdelmutti ◽  
Lisa Ould Gallagher ◽  
Nazlin Jivraj ◽  
Naa Kwarley Quartey ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document