The Problem of Pain: Acute Pain and Procedures

  • Nicole E. MacKenzie
  • Perri R. Tutelman
  • Christine T. ChambersEmail author
Part of the Issues in Clinical Child Psychology book series (ICCP)


Acute pain is a common childhood issue, from routine procedures (e.g., vaccinations, venipuncture) to more specialized medical procedures and treatments (e.g., lumbar punctures, surgery). This chapter provides an overview of best practices in acute pain management for pediatric psychology consultations, including evidence-based approaches to effective assessment and management. The chapter outlines developmental considerations to guide decision-making for pain assessment and management. Practical issues pediatric psychologists need to address when working with pediatric patients are discussed, including family, medical, and treatment-related factors. Key considerations for acute pain assessment and management in special populations are discussed, including children with intellectual disabilities, developmental disorders, and needle phobias. Recommendations for post-procedure pain management and support are discussed. The pediatric psychologist plays a critical role in acute pain management and should be armed with the evidence and expertise summarized in this chapter in order to ensure children with pain and their families receive the pain management they deserve.


Pain Pediatric pain Procedural pain Acute pain Pain management Pain assessment Needle phobia Intellectual disability Developmental disorder Pediatric psychology 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Nicole E. MacKenzie
    • 1
    • 2
  • Perri R. Tutelman
    • 1
    • 2
  • Christine T. Chambers
    • 1
    • 2
    • 3
    Email author
  1. 1.Department of Psychology and NeuroscienceDalhousie UniversityHalifaxCanada
  2. 2.Centre for Pediatric Pain ResearchIWK Health CentreHalifaxCanada
  3. 3.Department of PediatricsDalhousie UniversityHalifaxCanada

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