Pain Assessment Tools Objective: Name assessment tools used in the assessment of pain.
Neonatal Pain Assessment &Management
-
Upload
khaula-bethel -
Category
Documents
-
view
221 -
download
0
Transcript of Neonatal Pain Assessment &Management
-
8/4/2019 Neonatal Pain Assessment &Management
1/14
Common Approaches to a CommonProblemThe inability to communicate in no way negates the
possibility that an individual is experiencing pain and isin need of appropriate pain relieving treatment (IASP,
2001,p2)
-
8/4/2019 Neonatal Pain Assessment &Management
2/14
Neonatal Pain Assessment
&Management
Presented By
Khaula F. Reid R.NStudent
George Brown College
Toronto, Ontario, Canada
In Partial Fulfillment of CourseRequirements
Perinatal Intensive Care Nursing
S404
Common Approaches to a
Common Problem
-
8/4/2019 Neonatal Pain Assessment &Management
3/14
Objectives:
Define nociception, perception, pain Describe common myths about
neonatal pain
Case Study Baby A
Common Nursing Diagnoses Outline methods for assessing
neonatal pain in the NICU
Outline methods for relievingneonatal pain including Fentanyl
Nurses as advocates for neonates:Recent Findings
Conclusion: Moving Forward
Bibliography: Giving Account
Neonatal Pain Assessment
&Management
-
8/4/2019 Neonatal Pain Assessment &Management
4/14
Neonatal Pain Assessment
&Management
Neonatal Pain:
Common Myths
The neural and endocrine systems ofthe newborn infant are not
developed to the stage that allowsfor transmission of painful stimuli
Newborn term and preterm infantscannot remember pain and
therefore, there can be no sequelaeof pain.
Pain cannot be adequately assessedin the newborn infant
No self report of pain hence no painintensity rating.
Common methods for relieving painare not baby friendly.
-
8/4/2019 Neonatal Pain Assessment &Management
5/14
Neonatal Pain Assessment
&Management
Nociception
,
Perception, Pain
-
8/4/2019 Neonatal Pain Assessment &Management
6/14
Neonatal Pain Assessment
&Management
Neonatal Pain:
Case Study: Baby A
Name: Baby A, Twin Female
Age: 4 days as of April 7
th
, 2009BW: 930gms
Delivery Hx: C-section, decreasingfetal heart rate, decreased tone,
respiratory distress. Apgar 71, 85,Maternal Hx: 34 yr old G2 P0+
1 BloodGroup A-, GBS+, UTI for 2 wks,prior to delivery. Placental growth
discordance.Social Hx: Mom, dad, grand mom
support
-
8/4/2019 Neonatal Pain Assessment &Management
7/14
Parent/infant/child attachment,altered, risk forParenting, alteredParenting, altered, risk for
Role performance, alteredSocial interaction, impairedSocial isolation
Neonatal Pain Assessment&Management
Neonatal Pain:
Nursing Diagnosis
NANDA Nursing Diagnosis
PainAcute
Chronic
-
8/4/2019 Neonatal Pain Assessment &Management
8/14
Neonatal Pain Assessment&Management
Neonatal Pain:
Sources Birth Events
Major Surgery and Invasive
Procedures Diagnostic Examinations
Neonatal Conditions
-
8/4/2019 Neonatal Pain Assessment &Management
9/14
Neonatal Pain Assessment&Management
Neonatal Pain:
Assessment Methods
Commonly
Used Pain Rating Scales
Premature Infant Pain Profile Crying, oxygen requirement,
increased vital signs,expression, sleeplessness
Face, Legs, Activity, Cry,Consolibility
Neonatal Infant Pain Scale Neonatal Facial Coding System Others: Modified post-operative
comfort score, PokelasBehavioral pain score, ModifiedBehavioral Pain Scale and InfantBody Coding System
Sedation Scores
-
8/4/2019 Neonatal Pain Assessment &Management
10/14
Neonatal Pain Assessment&Management
Neonatal Pain:
Assessment Criterion
Points to Consider
Newborns, even the most immature feel
painNewborns in the NICU are subjected tomultiple painful procedures thatmay result in an altered painresponse later in infancy
If a procedure is painful in adults itshould be considered painful in thenewborn.
Adequate treatment of pain may beassociated with decreased clinicalcomplications and decreasedmortality.
Consider a combination of therapies torelieve pain.
-
8/4/2019 Neonatal Pain Assessment &Management
11/14
Types of Pain Management
Therapies
Prevention
Non-Pharmacological Pharmacological
Neonatal Pain Assessment&Management
Neonatal Pain:
Management Strategies
-
8/4/2019 Neonatal Pain Assessment &Management
12/14
Neonatal Pain Assessment&Management
Neonatal Pain:
Nursing Advocates
References:
A discussion of Neonatal Pain Among Health
Professionals:
Procedural pain in newborns at risk forneurologic impairment
Bonnie Stevens, R.N. PhD et al
Healthcare professionals perceptions of pain in
infants at risk for neurologic impairment.Lynn M Breau et al
Consistent Management of Repeated ProceduralPain with Sucrose in Preterm Neonates: Is iteffective and safe for repeated use over time.
Bonnie Stevens, R.N. PhD et al
Evaluation and development of potentiallybetter practices to improve painmanagement of neonates.
Paul J. Sharek et al
-
8/4/2019 Neonatal Pain Assessment &Management
13/14
Neonatal Pain Assessment&Management
Neonatal Pain:
Conclusion
References: contd:
1. Human Neonates and PainJ. Boumeester, M. van Dijk & D. Tibboel, Sophia
Childrens Hospital and Erasmus UniversityRotterdam, The Netherlands.
2. Assessment And Management Of Acute Pain In
The Newborndeveloped for AWHONN by Robin Koeppel, MS, RNC,
CPNP.3. Pain Management and Sedation in the NICUN. Abalavanan MD, Assistant Professor, Division of
Neonatology, University of Alabama at
Birmingham. Feb 2003.
-
8/4/2019 Neonatal Pain Assessment &Management
14/14
A society will be judged on the basis of how it treats itsweakest members and among the most vulnerable are surely theunborn and the dying,"
~Pope John Paul II (and the newborn)
Thank You