Pain in Children
Pain scale that should be used for a nonverbal preschooler who is recovering after surgery.
What is FLACC Behavioral Scale?
Restraints are used to maintain the _______ of the hospitalized child.
What is safety?
This age group will want privacy, peer involvement, and autonomy during hospitalization and office visits.
What is adolescent?
The first phase of separation anxiety where the child may cry, show distress, aggression, or reject others offering comfort when their parent leaves.
What is the protest phase?
Equine movement that engages sensory, neuromuscular, and cognitive systems to facilitate functional outcomes.
What is hippotherapy?
Replaces painful experiences with positive thoughts. Can consist of short, positive phrases- "quick stick, feel better, go home."
What is thought stopping?
Restraints are secured here.
A child in this age group may act out at home or at school in response to having a hospitalized sibling.
What is school age?
The adolescent fears how illness/ injury will affect their ________.
What is body image/ appearance?
Type of therapeutic play where the child acts out real life stressors to provide an emotional outlet to help cope with illness/ hospitalization
The most important component of pediatric pain assessment
What is use the same pain scale (to provide consistent assessment/ reassessment, to plan follow up interventions, and to assess effectiveness of interventions)
Restraints are removed _____ (frequency) for ROM and repositioning.
What is Q2H?
This age group is likely to regress during hospitalization.
What is toddler?
Describe how you would help reduce the fear/ anxiety for a 6 year old heading for an MRI.
What is explain the steps of the procedure, explain the sound of the machine, the other healthcare personnel involved, the room where the child will be, offer head phones for the noise
The reason for the referral of special needs infant or toddler to early intervention program.
What is to help the child reach maximum developmental potential. Also helps them to minimize educational costs and special education.
The nurse is preparing a child for a lumbar puncture. The MD orders EMLA cream. How and when will the nurse apply the EMLA?
What is apply the cream to the lumbar area and cover with a tegaderm 2-3 hours before the procedure?
Restraints are checked for proper placement ________ following initial placement and then ________.
What is 15 min after placement and then QH.
This age group likes to be independent, in control, and may worry how their illness/ injury will affect their appearance and body image.
What is adolescent?
An 8 year old child is confined to bed after surgery. She states that she is bored and tired of sitting in bed. She also does not want to participate in school work, play, or reading. The nurse may consider a referral to _______.
What is Child Life Specialist?
A toddler is hospitalized and is displaying signs of separation anxiety. Describe how you can help decrease his anxiety.
What is encourage the parents to room in, encourage play, maintain home routine as much as possible, offer choices
Name 4 behavioral indicators of pain in an infant
What is grimace, flailing arms/ legs, arching, jerking, chin quivering, clenched jaw, crying, frightened/ panic expression, agitation, breath holding?
Assess the temperature, pulse, and capillary refill of the affected extremity _________.
What is 15 min after placement and then QH.
This age group of children may view sickness as a punishment __________.
This is called _________.
What is preschool?
What is magical thinking?
Name 5 ways to help reduce fear and anxiety in a hospitalized child.
What is prepare child for procedure/ hospitalization, explain before it happens, perform care on doll/ stuffed animal, avoid medical terms, allow child to handle equipment, inform child of what to expect, show child the hospital room, introduce other health care personnel, explain sounds, night lights/ light up dark procedures, allow choices, age appropriate communication, allow play, minimize separation anxiety
Name 5 non-pharmacological pain management strategies.
What is relaxation, biofeedback, distraction, imagery, thought stopping, positive self talk, pacifier, sucrose, KC, BF, heat/ cold applications, massage, TENS