Paediatric pain - Concepts for caring
Shirley Thyer
Lecturer in Family Health, University of Western Sydney, Nepean NSW
PP: 027 - 032
Abstract
Caring for the health of children is a relatively modern concept. Furthermore, recognition of children's need for relief from pain is only just beginning to emerge and remains a subject of controversy.
Sadly, in the past, children's pain was viewed as a diagnostic aid rather than an entity in its own right. This paper outlines historical perspectives which contributed, not only to the slow evolution of paediatric nursing, but in particular, to recognition of children's pain as an entity. Furthermore, it emphasizes the importance of a sound understanding of children's developmental stages as fundamental to accurate assessment of children's special needs which can only be determined through effective communication.
Fundamentally, as children remain a somewhat voiceless, powerless minority group, health professionals are challenged not only to provide care, but to ensure that the care they give is indeed meeting the unique needs of each and every individual child.
References
Australian Government Publishing Service (AGPS) Health Targets and Implementation Committee Report (1988) in Health for All Australians, ACT, p.36.
Benner P (1984) From Novice to Expert, Addison-Wesley, USA, p.209.
Carnevali D (1984), Diagnostic Reasoning In Nursing, Lippincott, USA, p.4.
Cohen and Wills (1985) Stress, social support and the buffering hypothesis, Psychological Bulletin 98: 310-357.
Davitz L and Davitz J (1980) Nurses' Responses to Patients' Suffering, Springer, USA. pp.79-98.
Dewsbury R (1990) Sydney Morning Herald March 31: 23.
Fagerhaugh S and Strauss A (1977) Politics of Pain Management: Staff-Patient Interaction, Addison-Wesley, USA. p.21.
Foster R, Hunsberger M and Anderson J (1989) Family-Centred Nursing Care of Children, WB Saunders, USA, pp.15-19.
Foster R. et al. op. cit., pp.938-946.
Funk S, Tornquist E, Champagne M, Copp L and Wiese R (1989) Key Aspects of Comfort; Management of Pain, Fatigue, and Nausea, Springer, USA, pp.72-79.
Gaffney A. (1983) 'Pain: Perspectives in childhood: A study of the development of non-hospitalised children's verbally mediated ideas about pain between the ages of 4-14 years', Vol. 1/Vol.2. University College, Cork, Ireland. Unpublished doctoral dissertation in Ross and Ross (1988) Childhood Pain, Urban & Schwarzenberg, USA, p.45.
Levitt G (1989) Pain relief in babies - A not so simple problem, Maternal and Child Health April: 121-122.
McCaffery M and Beebe A (1989) Pain: Clinical Management For Nursing Practice, Mosby, USA, p.264.
McCaffery M and Beebe A (1989) op cit, pp.285-287.
McCaffery M and Beebe A (1989) op cit., pp.285-295.
Merskey H and Spear F (1967) Pain: Psychological and Psychiatric Perspectives, in Autton N (1988) Pain: An Exploration, Darton, Longman & Todd, London, p.9.
Mott S, Fazekas N and James S (1985), Nursing Care of Children and Families, Addison-Wesley, USA, pp.22-28.
Owens K (1987) The World of the Child, Holt, Rinehart & Winston, USA, pp.5-11.
Rice KJ (1989) Management of acute pain in paediatric patients, The Clinical Journal of Pain 5(1): S42-S50.
Ross D and Ross S (1982a) A study of the pain experience in children. Final Report Ref. No.1, R01 HD 13672-01. Bethseda, Maryland: National Institute of Child Health and Human Development. In Ross D and Ross S (1988) Childhood Pain: Current Issues, Research & Management, Urban & Schwarzenberg, USA.
Ross D and Ross S (1988) Childhood Pain: Current Issues, Research & Management, Urban & Schwarzenberg, USA, p.7.
Ross D and Ross S (1988) op cit. pp.28-33.
Ross D and Ross S (1988) op. cit., pp.100-101.
Schechter N (1984) Recurrent pain in children: An overview and an approach. Paediatric Clinics of North America 31: 949-967.
Stoddard F (1982) Coping with pain: A developmental approach to treatment of burned children. American Journal of Psychiatry 139: 736-740.
Wallace M (1989) Temperament: A variable in children's pain management, Paediatric Nursing 15(25): 118-121.
Worthington J (1989) Pain an 'unnecessary ordeal', The Australian November 29: 16.
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