Affiliation:
1. Universidade de São Paulo, Brazil
2. Instituto Israelita de Ensino e Pesquisa Albert Einstein, Brazil
Abstract
ABSTRACT Objective: To characterize pain management in hospitalized children. Method: This is an observational, cross-sectional, retrospective and descriptive study of quantitative approach, carried out in a secondary hospital in the city of São Paulo, through analysis of 1,251 medical records of children admitted to the pediatric department. Data were tabulated and analyzed through descriptive statistics. Results: A total of 88.8% of children were assessed for pain with standardized instruments and 86% had analgesia prescribed. Among the assessments, 37.8% of the children had pain; of these, 26% had severe pain, greater in orthopedic conditions; 18.3% were not medicated, even with the presence of pain and prescribed analgesia; 4.3% had no analgesics prescribed; only 0.4% received non-pharmacological measures, and 40.3% had a report of reassessment. Professionals provided greater analgesia to children with surgical and orthopedic conditions compared to clinical conditions (p < 0.05). Conclusion: Pain management in hospitalized children is ineffective, from initial assessments to reassessments after interventions, with prioritization of medication actions guided by professional judgment in the face of pain complaints.
Reference25 articles.
1. Evaluating Knowledge, Practices, and Barriers of Paediatric Pain Management among Nurses in a Tertiary Health Facility in the Northern Region of Ghana: A Descriptive Cross-Sectional Study;Wuni A;Pain Res Manag.,2020
2. WHO Guideline on the pharmacological treatment of persisting pain in children with medical illnesses [Internet],2012
3. WHO Analgesic Ladder [Internet];Anekar AA,2022
4. WHO Guidelines for the pharmacological and radiotherapeutic management of cancer pain in adults and adolescents [Internet],2018
5. Do barriers to pediatric pain management as perceived by nurses change over time?;Czarnecki ML;Pain Manag Nurs.,2014
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