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Pain in perspective

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Child and Infant Pain

Abstract

Children and infants, like the rest of humanity, can and do perceive and experience pain. Many misconceptions have, until relatively recently, been held by health professionals about children’s and infants’ ability to perceive and experience pain. Of all of these perhaps the most fundamentally damaging one was the myth that children and infants were unable to perceive and experience pain. This myth, which has now been rejected, has allowed and perhaps even encouraged the dismissal of pain as an issue, and chronic mismanagement of the child in pain has resulted. Thankfully pain is now an issue that the nurse and the rest of the multidisciplinary team cannot ignore. Pain is now accepted as an area of fundamental responsibility for the nurse which is important; however, what is more important is that responsibility is fulfilled with all children and their families. Effective pain management starts with a commitment to believe in the pain that the child is reporting and to work with them and their family to achieve the best level of control that is possible. Pain management is based on honesty and trust and effective communication skills; without these essential skills pain management will be flawed.

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References

  • Abu-Saad, H. (1984) Cultural group indicators of pain in children. Maternal Child Nursing Journal, 13: 187–196.

    PubMed  CAS  Google Scholar 

  • Abu-Saad, H.H. (1990) Toward the development of an instrument to assess pain in children: Dutch study. In: Tyler, D.C. and Krane, E.J. (eds), Advances in Pain Research Therapy, Vol. 15. Raven Press, New York, pp. 101–106.

    Google Scholar 

  • Alder, S. (1990) Taking children at their word. Professional Nurse, 5 (8): 397–402.

    Google Scholar 

  • Alexander, D., White, M. and Powell, G. (1986) Anxiety of non-rooming-in parents of hospitalized children. Children’s Health Care, 15 (1): 14–20.

    Article  CAS  Google Scholar 

  • Anand, K.J.S., Brown, M.J. and Causon, R.C. (1985) Can the human neonate mount an endocrine/metabolic response to surgery? Journal of Pediatric Surgery, 20: 41–48.

    Article  PubMed  CAS  Google Scholar 

  • Banoub-Baddour, S. and Laryea, M. (1991) Children in pain: a culturally sensitive perspective for child care professionals. Journal of Child and Youth Care, 6 (1): 19–24.

    Google Scholar 

  • Beales, J.G. (1983) Factors influencing the expectation of pain among patients in a children’s burns unit. Burns, 9: 187–192.

    Article  CAS  Google Scholar 

  • Bernstein, B.A. and Pachter, L.M. (1993) Cultural considerations in children’s pain. In: Schechter, N.L., Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 113–122.

    Google Scholar 

  • Beyer, J.E. and Wells, N. (1989) The assessment of pain in children. Pediatric Clinics of North America, 36: 837–854.

    PubMed  CAS  Google Scholar 

  • Blount, R.L., Landolf-Fritshe, B., Powers, S.W. and Sturges, J.W. (1991) Differences between high and low coping children and between parent and staff behaviors during painful medical procedures. Journal of Pediatric Psychology, 16 (6): 795–809.

    Article  PubMed  CAS  Google Scholar 

  • Booker, P.D. (1987) Postoperative analgesia for neonates. Anaesthesia, 42: 343–345.

    Article  PubMed  CAS  Google Scholar 

  • Brazelton, T.B. (1979) Behavioural competence of the newborn. Seminars in Perinatology, 3: 35–44.

    PubMed  CAS  Google Scholar 

  • Brewster, A.B. (1982) Chronically ill hospitalized children’s concepts of their illness. Pediatrics, 69: 355–362.

    PubMed  CAS  Google Scholar 

  • Broome, M.E., Bates, T.A., Lillis, P P.Y. and Wilson McGahee, T. (1990) Children’s medical fears, coping behaviors, and pain perceptions during a lumbar puncture. Oncology Nursing Forum, 17 (3): 361–367.

    PubMed  CAS  Google Scholar 

  • Brown, J.M. O’Keefe, J., Sanders, S.H. and Baker, B. (1986) Developmental changes in children’s cognition to stressful and painful situations.

    Google Scholar 

  • Brykcznska, G.M. (1989) Ethics in Paediatric Nursing. Chapman and Hall, London.

    Book  Google Scholar 

  • Burokas, L. (1985) Factors affecting nurses’ decisions to medicate pediatric patients after surgery. Heart and Lung, 14 (4): 373–379.

    PubMed  CAS  Google Scholar 

  • Burr, S. (1987) Pain in childhood. Nursing, 24: 890–896.

    Google Scholar 

  • Castiglia, P.T. (1992) Developing a theoretical framework for growth and development. In: Castiglia, P.T. and Harbin, R.E. (eds), Child Health Care: Process and Practice. Lippincott, Philadelphia, pp. 57–74.

    Google Scholar 

  • Chamberlain, D.B. (1989) Babies remember pain. Pre-and Peri-natal Psychology, 3 (4): 297–310.

    Google Scholar 

  • Covelman, K., Scott, S., Buchanan, B. and Rosman, B. (1990) Pediatric pain control: a family systems model. In: Tyler, D.C. and Krane, E.J. (eds), Advances in Pain Research Therapy, Vol. 15. Raven Press, New York.

    Google Scholar 

  • Dearmun, A. (1991) Perceptions of parental partnership. Paediatric Nursing, 4 (7): 6–10.

    Google Scholar 

  • Dearmun, A. (1993) Towards a partnership in pain management. Paediatric Nursing, 5 (5): 8–10.

    Google Scholar 

  • Deynes, M.J., Neuman, B.M. and Villarruel, A.M. (1991) Nursing actions to prevent and alleviate pain in hospitalized children. Issues in Comprehensive Pediatric Nursing, 14 (1): 31–48.

    Article  Google Scholar 

  • Dilworth, N.M. (1988) Children in pain: an underprivileged group. Journal of Pediatric Surgery, 23: 103–104.

    Article  PubMed  CAS  Google Scholar 

  • Dilworth, N.M. and MacKellar, A. (1987) Pain relief for the pediatric surgical patient. Journal of Pediatric Surgery, 22: 264–266.

    Article  PubMed  CAS  Google Scholar 

  • Douglas, J. (1993) Psychology and Nursing Children. BPS Books and Macmillan Press, Leicester.

    Google Scholar 

  • Eiser, C. and Patterson, D. (1983) Slugs, snails and puppy dog tails–children’s ideas about the inside of their bodies. Child Health Care Development, 9: 233–240.

    Article  CAS  Google Scholar 

  • Eland, J. (1981) Minimizing pain associated with prekindergarten intramuscular injections. Issues in Comprehensive Pediatric Nursing, 5: 361–372.

    Article  PubMed  CAS  Google Scholar 

  • Eland, J. (1985) The child who is hurting. Seminars Oncology Nursing, 1: 116–122.

    Article  CAS  Google Scholar 

  • Eland, J.M. (1988) Persistence of pain research: one nurse researcher’s efforts. Recent Advances in Nursing, 21: 43–62.

    Google Scholar 

  • Eland, J.M. and Anderson, J.E. (1977) The experience of pain in children. In: Jacox, A. (ed.), Pain: A Source Book for Nurses and Health Professionals. Little, Brown and Co., Boston, pp. 453–473.

    Google Scholar 

  • Elliot, C.H. and Olsen, R.A. (1982) The management of children’s behavioural distress in response to painful medical treatment for burn injuries. Paper presented at a meeting of the American Psychology Association, Washington, DC. Cited in Burr, S. (1987) Pain in childhood. Nursing, 24, 890–896.

    Google Scholar 

  • Emde, R.N., Harmon, R.J., Metcalf, D. et al. (1971) Stress and neonatal sleep Psychosomatic Medicine, 33: 491–497.

    PubMed  CAS  Google Scholar 

  • Erikson, E.H. (1968) Childhood and Society. Norton, New York.

    Google Scholar 

  • Fitzgerald, M. and Anand, K.J.S. (1993) Developmental neuroanatomy and neurophysiology of pain. In: Schechter, N.L., Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 11–31.

    Google Scholar 

  • Foster, R.L. and Hester, N.O. (1990) The relationship between pain ratings and pharmacologic interventions for children in pain. In: Tyler, D.C. and Krane, E.J. Advances in Pain Research Therapy, Vol. 15. Raven Press, New York, pp. 31–36.

    Google Scholar 

  • Fowler-Kerry, S. and Lander, J.R. (1987) Management of injection pain in children. Pain, 30: 169–175.

    Article  PubMed  CAS  Google Scholar 

  • Franck, L.S. (1986) A new method to quantitatively describe pain behavior in infants. Nursing Research, 35 (1): 28–31.

    Article  PubMed  CAS  Google Scholar 

  • Gaffney, A. and Dunn, E.A. (1986) Developmental aspects of children’s definitions of pain. Pain, 26: 105–117.

    Article  PubMed  CAS  Google Scholar 

  • Goodall, A. (1979) Perception’s of nurses towards parent’s participation on pediatric oncology units. Cancer Nursing, 2 (1): 38–46.

    Google Scholar 

  • Gross, S. and Gardner, G. (1980) Child pain: treatment approaches. In: Smith, W., Merskey, H. and Gross, S. (eds), Pain: Meaning and Management. SP Medical and Scientific Books, New York.

    Google Scholar 

  • Haslam, D. (1969) Age and perception of pain.Psychonomic Science, 15: 86.

    Google Scholar 

  • Hawley, D.D. (1984) Postoperative pain in children: misconceptions, descriptions and interventions. Pediatric Nursing, 10: 20–23.

    PubMed  CAS  Google Scholar 

  • Hester, N. and Barcus, C. (1986) Assessment and management of pain in children. Pediatrics: Nursing Update, 1 (14): 3.

    Google Scholar 

  • Jay, S.M., Ozolins, M., Elliott, C.H. and Caldwell, S. (1983) Assessment of children’s distress during painful medical procedures. Health Psychology, 2: 133–147.

    Article  Google Scholar 

  • Johnston, C. (1993) Development of psychological responses to pain in infants and toddlers. In: Schechter, N.L., Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 65–74.

    Google Scholar 

  • Justins, D.M. (1991) Pain relief. In Adams, A.P. and Cashman, J.N. (eds), Anaesthesia, Analgesia, and Intensive Care. Edward Arnold, London, pp. 263–278.

    Google Scholar 

  • Katz, E.R., Kellerman, J. and Siegel, S.E. (1980) Behavioral distress in children with cancer undergoing medical procedures: developmental consideration. Journal of Consulting and Clinical Psychology, 48: 356–365.

    Article  PubMed  CAS  Google Scholar 

  • Cited in McGrath, P.A. (1990) Pain in Children: Nature, Assessment and Treatment. Guilford Press, New York.

    Google Scholar 

  • King, S.R. (1993) Somatoform pain. In: Schechter, N.L., Berde, C.B., and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 639–647.

    Google Scholar 

  • Lawson, J.R. (1986) Letter to the Editor. Birth, 13: 124–125.

    Article  Google Scholar 

  • Lipton, J.A. and Marbach, J.J. (1984) Ethnicity and the pain experience. Social Science and Medicine, 19 (12): 1279–1298.

    Article  PubMed  CAS  Google Scholar 

  • Martinelli, A.M. (1987) Pain and ethnicity: how people of different cultures experience pain. AORN Journal, 46(2): 273–274, 276, 278, 280–281.

    Google Scholar 

  • Mather, L. and Mackie, J. (1983) The incidence of post-operative pain in children. Pain, 15: 271–282.

    Article  PubMed  CAS  Google Scholar 

  • Mathews, J.R., McGrath, P.J. and Pigeon, H. (1993) Assessment and measurement of pain in children: In: Schechter, N.L. Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 97–111.

    Google Scholar 

  • McCaffery, M. (1979) Nursing Management of the Patient with Pain. J.B. Lippin-cott, New York.

    Google Scholar 

  • McCaffery, M. (1982) Pain control in children. In: Henning, J.S. (ed.), The Rights of Children. Thomas, Springfield, IL.

    Google Scholar 

  • McCaffery, M. and Beebe, A. (1989) Pain Clinical Manual for Nursing Practice. Mosby, St. Louis.

    Google Scholar 

  • McCaffery, M. and Wong, D.L. (1993) Nursing interventions for pain control in children. In: Schechter, N.L., Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 295–316.

    Google Scholar 

  • McGrath, P.A. (1989) Evaluating a child’s pain. Journal of Pain and Symptom Management, 4: 192–214.

    Google Scholar 

  • McGrath, P.A. (1990) Pain in Children: Nature, Assessment and Treatment. Guilford Press, New York.

    Google Scholar 

  • McGrath, P.A. (1993) Inducing pain in children: a controversial issue. Pain, 52: 255–257.

    Article  PubMed  CAS  Google Scholar 

  • Merskey, H. (1986) Classification of chronic pain. Pain (Suppl.) 3: S1 - S225.

    Google Scholar 

  • Miles, M. and Carter, M. (1982) Sources of parental stress in pediatric intensive care units. Children’s Health Care, 11 (3): 65–69.

    Article  Google Scholar 

  • Mills, N.M. (1989) Acute pain behaviour in infants and toddlers: In: Funk, S.G. et al. (eds), Key Aspects of Comfort: Management of Pain, Fatigue and Nausea. Springer, New York, pp. 52–59.

    Google Scholar 

  • Ngugi, E.N. (1986) Pain: an African perspective. Nursing Practice, 1: 169–176.

    PubMed  CAS  Google Scholar 

  • O’Brien, S. and Konsler, G. (1988) Alleviating children’s postoperative pain. Maternal Child Nursing, 13 (3): 183–186.

    Article  Google Scholar 

  • Porter, F. (1989) Pain in the newborn. Clinics in Perinatology, 16 (2): 549–564.

    PubMed  CAS  Google Scholar 

  • Owens, M.E. and Todt, E.H. (1984) Pain in infancy: neonatal reaction to heel lance. Pain, 20: 77–86.

    Article  CAS  Google Scholar 

  • Porter, J. and Jick, H. (1980) Addiction rare in patients treated with narcotics. New England Journal of Medicine, 302: 123.

    PubMed  CAS  Google Scholar 

  • Redmon, R.B. (1986) How children can be respected as `ends’ yet still be used as subjects in non-therapeutic research. Journal of Medical Ethics, 12: 77–82.

    Article  PubMed  CAS  Google Scholar 

  • Cited in Brykcznska, G.M. (1989) Ethics in Paediatric Nursing. Chapman and Hall, London.

    Google Scholar 

  • Ross, D.M. and Ross, S.A. (1984) Childhood pain: the school aged child’s viewpoint. Pain, 20: 179–191.

    Article  PubMed  CAS  Google Scholar 

  • Savedra, M. and Tesler, M. (1981) Coping strategies of hospitalized school-age children. Western Journal of Nursing Research, 3 (4): 371–384.

    Article  PubMed  CAS  Google Scholar 

  • Savedra, M., Gibbons, P., Tesler, M., Ward, J. and Wegner, C. (1982) How do children describe pain? A tentative assessment. Pain, 14: 95–104.

    Article  PubMed  CAS  Google Scholar 

  • Schechter, N.L. (1989) The undertreatment of pain in children: an overview. Pediatric Clinics of North America, 36: 781–794.

    PubMed  CAS  Google Scholar 

  • Schechter, N.L., Berde, C.B. and Yaster, M. (1993) Pain in infants, children, and adolescents: an overview. In: Schechter, N.L., Berde, C.B. and Yaster, M. (eds), Pain in Infants, Children, and Adolescents. Williams and Wilkins, Baltimore, pp. 3–10.

    Google Scholar 

  • Shelley, P. (1993) Taking action. Nursing Standard (Suppl.), 7 (25): 3.

    Google Scholar 

  • Shelton, T. et al. (1987) Family Centred Care for Children with Special Healthcare Need. Association for the Care of Children’s Health, Washington.

    Google Scholar 

  • Smith, M. (1985) Taking blood from children causes no more than minimal harm. Journal of Medical Ethics, 11 (3): 127–132.

    Article  PubMed  CAS  Google Scholar 

  • Sternbach, R.A. (1968) Pain: A Psychophysiological Analysis. Academic Press, New York.

    Google Scholar 

  • Stevens, B., Hunsberger, M. and Browne, G. (1987) Pain in children: theoretical, research and practice dilemmas. Journal of Pediatric Nursing, 2 (3): 154–166.

    PubMed  CAS  Google Scholar 

  • Thyer, S. (1992) Pediatric pain: concepts for caring. Contemporary Nurse: A Journal for the Australian Nursing Profession, 1 (1): 27–32.

    Article  CAS  Google Scholar 

  • Tyler, D.C. (1988) Pain in the neonate. Pre and Post-natal Psychology, 3 (1): 53–59.

    Google Scholar 

  • UK Central Council for Nursing, Midwifery and Health Visiting (1992) Code of Pro-fessional Conduct for the Nurse, Midwife and Health Visitor. UKCC, London.

    Google Scholar 

  • UK Central Council for Nursing, Midwifery and Health Visiting (1993) Standards for Records and Record Keeping. UKCC, London.

    Google Scholar 

  • Vardaro, J.A. (1978) Preadmission anxiety and mother-child relationships. Journal of Association of Care of Children in Hospital. 7: 8–15.

    CAS  Google Scholar 

  • Volpe, J. (1981) Neurology of the Newborn, Saunders, Philadelphia.

    Google Scholar 

  • Walco, G.A., Dampier, C.D., Hartstein, G., Djordjevic, D. and Miller, L. (1990) The relationship between recurrent clinical pain and pain threshold in children. In: Tyler, D.C. and Krane, E.J. (eds), Advances in Pain Research Therapy, Vol. 15. Raven Press, New York, pp. 333–340.

    Google Scholar 

  • Wallace, M.R. (1989) Temperament: a variable in children’s pain management. Pediatric Nursing, 15 (2): 118–121.

    PubMed  CAS  Google Scholar 

  • Warni, J.W. (1990) Behavioral management of pain in children. In: Tyler, D.C. and Krane, E.J. (eds), Advances in Pain Research Therapy, Vol. 15. Raven Press, New York, pp. 215–234.

    Google Scholar 

  • Watt-Watson, J.H. Evernden, C. and Lawson, C. (1990) Parents’ perceptions of their child’s acute pain experience. Journal of Pediatric Nursing, 5 (5): 344–349.

    CAS  Google Scholar 

  • Webb, N., Hull, D. and Madeley, R. (1985) Care by parents in hospital. British Medical Journal, 291: 176–177.

    Article  PubMed  CAS  Google Scholar 

  • Whaley, L.F. and Wong, D.L. (1989) Essentials of Pediatric Nursing, 3rd edn. Mosby, St Louis, p. 587.

    Google Scholar 

  • Whitsett, S.F. and Hagen, W. (1990) Parental involvement in the behavioral management of pain in pediatric oncology patients: a preliminary evaluation. In: Tyler, D.C. and Krane, E.J. (eds), Advances in Pain Research Therapy, Vol. 15. Raven Press, New York, pp. 373–382.

    Google Scholar 

  • Zborowski, M. (1952) Cultural components in response to pain. Journal of Social Issues, 8: 16–30.

    Article  Google Scholar 

  • Zborowski, M. (1969) People in Pain. Jossey-Bass, San Francisco.

    Google Scholar 

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Carter, B. (1994). Pain in perspective. In: Child and Infant Pain. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-3366-9_1

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  • DOI: https://doi.org/10.1007/978-1-4899-3366-9_1

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