Pain in children: attitudes and nursing interventions
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abstract
Pain in children either as a disease or as a symptom
is one of the main families’ worries, and not only for ethical
reasons, but also for clinical and economic ones, its control is a
priority. Pain is, as de ned by the Portuguese Association for the
Study of Pain (2013), “an unpleasant multidimensional experience.
Pain involves not only a sensorial experience but also an emotional
one. Due to its complexity, subjectivity and dificulty in assessing
and managing pain in pediatrics, this subject should be a reason
for reflection and discussion in teams that play their nursing
practice with children.
Method and techniques: Descriptive study with an intentional
sample constituted by twelve pediatric nurses, using a questionnaire
for data collection.
Results: The present study revealed that all nurses in pediatrics
assess pain in hospitalized children using children’s verbal
communication, children’s behavior, physiological signs, scales and
global observation of children. Results also suggest that 66,7% of
nurses express dificulties in the assessment of pain in hospitalized
children. To what nursing interventions concerns, we concluded
that nurses use both pharmacological and non-pharmacological
measures.
Conclusions: nurses recognize the evidence that pain assessment
is the rst step towards its effective control, and, in caring process
children in their integrality, discomfort and pain experienced by
children must be considered, aiming a better quality of life of these
users.