Pain Management

September is Pain Awareness Month. This month-long recognition was created to increase education and awareness within our community about the effects of pain, the available treatments to alleviate pain and the importance of communication with healthcare providers regarding pain-related concerns so that pain can be better understood and treated.

How can you support pain awareness?

  • Wear PURPLE on September 19th.
  • Nominate staff for the Pain Advocate Award with an iCREATE Employee recognition.
  • Attend the Pain Awareness Fair on September 19th, in the Michael Fux Family Center.

How we work together to manage children's pain

Nicklaus Children's partners with parents to assess pain at regular intervals and take measure to reduce discomfort. When appropriate, medications are used to reduce pain, along with the following:

 
swaddling

Swaddling and Positioning

water bag

Ice or warm packs

Learn more

blanket

Warm blankets


Distraction techniques

(toys, bubbles, games)

soundwaves

Playing favorite music

Learn more

relaxation

Breathing exercises / Relaxation /Guided Imagery


guitar

Music Therapy

Learn more

hands

Child Life education and intervention

Learn more

teddy bear

Favorite comfort items


dog collar

Pet Therapy

Learn more

clown

Red Nose Docs clowns

Learn more

board game

Bedside volunteers to read and play games


 
exercise

Movement and Exercise

 

Reducing Procedural Pain

The hospital has many tools to help reduce procedural pain:

 
dripper

Oral sucrose for infants

spray

Pain Ease cold spray

cream

Topical numbing creams


needle

Needle-free J-Tip device

holdingComfort holding positions

Learn more


Print this information (bilingual PDF)

Children experience pain from many causes

The types of pain can be separated into the following:
  1. Everyday pain, such as skin scrapes and contusions, provide an opportunity for children to learn how to cope with pain.
  2. Short-term pain, such as ear infections or immunizations, are reported as more painful by younger children than older children.
  3. Recurrent pain, arises from many factors. Examples including stomachaches, headaches, and leg and back pain are reported to occur in up to 30 percent of children. There are two challenges with this type of pain:
    1. This type of pain may come and go unexpectedly.
    2. It is sometimes difficult to find the cause of this pain.
  4. Disease-related and chronic pain may be a symptom of an underlying problem or may occur secondary to the effects of the disease and/or treatment. Learn more about chronic pain.

Many factors can affect your child's pain

The six most significant factors are:
  1. Age and developmental level.
  2. Associated symptoms such as nausea or anxiety.
  3. Beliefs about the cause of the pain.
  4. Ability to cope with the pain.
  5. Previous experiences with pain .
  6. Observations of how others deal with pain.

Pain assessment tools are available to evaluate pain in all ages of children.

  • These tools are specific to the child's age and developmental level and include the child's self-report of pain, the observations of behaviors that may indicate pain and monitoring for physical changes that may indicate pain. Routine use of these pain assessment tools help healthcare providers more effectively identify and treat pain.
  • However, in children who are non-verbal or cognitively impaired, pain may be difficult to identify. In a new program called Hand In Hand Together We Can, we partner with parents and caregivers by asking about specific pain behaviors that their child may demonstrate when they are experiencing pain. This information allows us to more efficiently identify and treat pain.

Children may use coping skills to deal with pain.

  • Two of the most common coping skills they use are play (distraction) and sleep. Examples of other coping skills that children may use include listening to music, playing videogames, relaxation, breathing techniques and guided imagery.

Most pain can be prevented, treated or at least reduced using a multimodal approach.

  • A multimodal approach includes a combination of physical techniques (such as positioning), psychological techniques (such as deep breathing) and pharmacological techniques (including various types of medications).

Pain is dynamic and constantly changing.

  • Sometimes levels of pain can change as quickly as the lights changing on a traffic light.
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