Compact Clinical Guide to Infant and Child Pain Management: An Evidence-Based Approach for Nurses

by Linda L. Oakes MSN, RN-BC, CCN, Yvonne D'Arcy MS, APN-C, CNS, FAANP (Editor)

Overview

Named a 2013 Doody's Core Title!

"I would recommend this great little book for nurses who wish to carry a book with them in their clinical practice. Itís a great addition to the growing list of books addressing pain in pediatrics."--Pediatric Pain Letter

"[This book] is a practical guide to pediatric pain assessment and management for the advanced practice nurse and primary caregivers who are interested in caring for patients with pain, but whose care specialty is not pain management. For the nurses whose specialty is pain management, this text provides a quick pediatric reference of our knowledge and tools of our trade. Even though it is a 'compact guide,' this text is well referenced with current key position statements, clinical practice guidelines, and primary references of the latest pediatric pain management research."--Pain Management Nursing

Presented in a concise, systematic format, this clinically oriented book provides nurses and physicians quick access to up-to-date information on how to assess and manage pain in infants and children, including adolescents who suffer from acute and chronic pain conditions. This book provides a comprehensive review of medications for infants and children as well as nonpharmacological interventions to achieve optimal pain management for young patients undergoing needle-related procedures as well as painful conditions related to surgery, trauma, cancer, sickle cell disease, and chronic pain.

Key Features:

• Describes the consequences of untreated pain on development of children
• Summarizes pain assessment tools recommended for verbal and preverbal patients as well as those who are critically or terminally ill
• Provides general principles and specific dosing recommendations for non-opioids, opioids, and coanalgesics for optimal safety and effective reduction in pain
• Describes the indications, medications, and ongoing care and monitoring related to the increasing use of epidural and continuous peripheral nerve block infusions for pediatric patients
• Provides information on how to use age-appropriate strategies for cognitive, cognitive-behavioral, and physical approaches to reduce pain
• Includes useful resources, such as websites, and other tools, such as pain diaries and patient education information, to support multidisciplinary teams and parents who care for children with acute and chronic pain

Product Details

ISBN-13:	9780826106186
Publisher:	Springer Publishing Company
Publication date:	02/22/2011
Sold by:	Barnes & Noble
Format:	eBook
Pages:	368
File size:	8 MB

About the Author

Linda L. Oakes, MSN, RN-BC, CCN is Pain Clinical Nurse Specialist (CNS) and Research Associate in the Patient Care Services Division at St. Jude Children's Research Hospital, Memphis, Tennessee.

Yvonne D'Arcy, MS, CRNP, CNS, is the Pain and Palliative Care Nurse Practitioner at Suburban Hospital- Johns Hopkins Medicine in Bethesda, Maryland.

Table of Contents

"Section I: Overview of pain in infants and children

Section II: Common medications for managing acute and chronic pain

Chapter 3: Non-opioids
Chapter 4: Opioids
Chapter 5: Co-analgesics (adjunct medications); neuropathic pain

Section III: Neuroaxial methods for managing pain

Chapter 6: Epidural
Chapter 7: Peripheral nerve blocks

Section IV: Nonpharmacologic methods of pain management

Chapter 8. Common: relaxation and distraction
Chapter 9: Guided imagery and hypnotherapy
Chatper 10: Physical approaches: heat, cold, exercise, massage, sucrose

Section V: Integration of methods of treatment

Chapter 11: Multi-disciplinary approach
Chapter 12: Role of parents as coaches

Section IV: Special treatment considerations for pain including impact on the family

Chapter 13: Needle-related procedures: local anesthetic administration methods
Chapter 14: Managing Pain in Critically ill infants and children
Chapter 15: Managing Pain in Terminally ill patients including role

Section V: Managing common pain conditions

Chapter 16: Postoperative Pain
Chapter 17: Pain Associated with Trauma including amputation
Chapter 18: Cancer Pain: acute and chronic
Chapter 19: Sickle cell disease Pain

Tables and Appendices

• Pain Assessment Scales
• Dosing Guidelines for Nonopioid analgesics
• Dosing Guidelines for Initiation of Opioids
• Equianalgesic Conversion Table
• Medications to Prevent or Relieve Opioid-induced Constipation
• Management of Needle-related Pain
• Examples of pain diaries/role of the family
• References and Selected Websites

"

Editorial Reviews

Reviewer: Susan M. Wechter, PhDc, RN, PPCPNP-BC(Walsh University Nursing School)
Description: The author presents a comprehensive and clear clinical guide for pain management in the pediatric population in this book. Seven concise sections cover indications, methods, and tools for assessment and management of acute and chronic pain in infants, children, and adolescents. Specific pharmacologic and nonpharmacologic interventions and care guidelines address children's pain in a collaborative, integrative approach through a multidisciplinary lens.
Purpose: The purpose is to give primary care providers a concise, evidence-based resource that addresses the comprehensive pain management needs of the pediatric population. This is a necessary, detailed guide offering clinically sound management steps to improve therapeutic techniques for infants and children in acute and chronic pain. The author's outstanding literature review addresses state-of-the art management of children's pain and identifies multiple avenues for future research.
Audience: This clinical guide is written for primary healthcare providers in the management of infants, children, and adolescents who are experiencing pain. This would include, but not be limited to, nurses, physicians, therapists, students, and parents involved in a collaborative approach to pain management. As a pain clinical nurse specialist from St. Jude's Children's Hospital, the author brings rich clinical expertise and a research background to illuminate comprehensive, clinical management of the child in pain.
Features: The seven sections address the definition, assessment, and therapeutics for pain management of infants and children. An outstanding overview of state-of-the art pharmacologic and nonpharmacologic interventions includes clinical guidelines for pain management. Multiple tools, scales, and tables give practitioners specific developmental guidelines that address the continuum of needs for infants through adolescents. Indications for new drug therapies, and parameters for cognitive and physical therapies complete the repertoire, capturing the child's and the family's individual pain management needs. Specific chapters highlight the care of the child with postoperative, cancer, sickle cell, and trauma pain as well as the critically ill and dying child. Additionally, an excellent, detailed pain education tool for parents is offered. With over 400 references, this book provides a meta-analysis of the available evidence on children's pain. The author critically outlines a future research trajectory for children's pain management, giving direction to clinicians and paving the way for the next edition of this resource. Shortcomings are few, but include the lack of a comprehensive theoretical framework and specific cultural and spiritual guidelines, and minimal information on the significance of the parent-child relationship in pain management. Despite these gaps, the author lists relevant national websites and resources in the appendix that could remedy the need for this additional information.
Assessment: This is an excellent clinical guide for practitioners who manage acute and chronic pain in infants, children, and adolescents. I am unaware of a guide that provides the combination of a hands-on clinical resource and a rich meta-analysis of research for the evidence-based management of children's pain. I would recommend this as a staple in all areas of healthcare serving children. It also provides a guide for health policy makers, researchers, and project leaders to enhance the quality of pain management for children and their families.

Doody's Review Service