Escalas de avaliação de dor em recém‐nascidos: revisão integrativa1

Melo, Gleicia Martins de; Lélis, Ana Luíza Paula de Águiar; Moura, Alline Falconieri de; Cardoso, Maria Vera Lúcia Moreira Leitão; Silva, Viviane Martins da

doi:10.1016/j.rpped.2014.04.007

Cited by 53 publications

(27 citation statements)

References 49 publications

(87 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A implementação das escalas de avaliação da dor em recém-nascidos mostra-se essencial, como uma ferramenta clínica de baixo custo e de alto impacto na identificação deste fenômeno. 13,14 Ressalta-se que ainda não existe uma escala padrão ouro para avaliação da dor no RN. Com base no conhecimento das características de cada escala, não se pode eleger a mais adequada, pois a escolha dependerá da idade gestacional, do tipo de estímulo doloroso, do contexto em que o RN se apresente.…”

Section: Methodsunclassified

“…Com base no conhecimento das características de cada escala, não se pode eleger a mais adequada, pois a escolha dependerá da idade gestacional, do tipo de estímulo doloroso, do contexto em que o RN se apresente. 13 A observação da expressão facial é um método não invasivo de avaliação de dor, sensível e útil na clínica diária. Trata-se também de um método específico para avaliação da dor em recém-nascidos prematuros e de termo.…”

Section: Methodsunclassified

See 1 more Smart Citation

Ocorrência de dor em bebês internados em unidade de terapia intensiva neonatal de maternidade terciária

Nazareth¹,

Lavor²,

Sousa³

2015

Rev. Med. UFC

View full text Add to dashboard Cite

RESUMOIntrodução: Por muitos anos, acreditou-se que os recém-nascidos (RNs) eram incapazes de sentir dor, devido ao pressuposto que seu sistema nervoso ainda não estaria completamente formado. Os RNs podem perceber a dor com mais intensidade do que as crianças e os adultos, devido aos seus mecanismos de controle inibitório imaturos, diminuindo capacidade de modular a experiência dolorosa. Objetivos: Identificar a ocorrência de dor em bebês internados e mensurar a utilização de analgesia farmacológica. Material e Métodos: Estudo transversal prospectivo, realizado nas Unidades de Terapia Intensiva Neonatal de um hospital terciário, no período de novembro de 2014 a fevereiro de 2015. Resultados: Dor foi identificada em 36% dos pacientes. Cinco (10%) pacientes receberam medidas farmacológicas de analgesia. Conclusão: Houve discrepância entre a frequência de dor encontrada e a de utilização de medidas para aliviá-la. Mostra-se necessária a implantação de um protocolo de avaliação e terapêutica de dor pela Instituição. Palavras-chave:Recém-nascido. Dor. Medição da dor. Unidades de terapia intensiva neonatal. ABSTRACTIntroduction: For many years, it has been believed that newborns weren´t able to feel pain, because their nervous system wasn´t completely built. Newborns feel more pain than child and adults, due to the lack of maturity of the descendent inhibitory pathways, decreasing their ability to modulate pain experience. Objective: To identify occurrence of pain in interned babies and measure the use of pharmacological analgesia. Methods: Transversal prospective study, performed at Neonatal Intensive Care Units (NICUs) of tertiary hospital, between November 2014 and February 2015. Results: Pain was identified in 36% of patients. Five (10%) patients received pharmacological analgesia. Conclusion: A discrepancy arises between frequency of pain and the use of relieving measures. It is necessary to implement a protocol of evaluation and pain relief at the Institution.

show abstract

Section: Methodsunclassified

Ocorrência de dor em bebês internados em unidade de terapia intensiva neonatal de maternidade terciária

Nazareth¹,

Lavor²,

Sousa³

2015

Rev. Med. UFC

View full text Add to dashboard Cite

show abstract

“…Due to the difficulty in understanding pain in a population that does not verbalise pain, observations of pain behaviour, e.g., facial activity and cry, form the basis of the assessment of neonatal pain. There is still no gold standard for pain assessment in infants and there are at least 29 available pain scales, both one-dimensional and multidimensional, used in preterm and full-term infants in situations of acute and prolonged pain (de Melo et al, 2014;Stevens et al, 2014;van Dijk et al, 2006). Pain has a longterm negative impact on infant's development and future behaviour (Verriotis, Chang, Fitzgerald, & Fabrizi, 2016), but so do analgesic drugs, which also have negative developmental side effects (de Graaf et al, 2011).…”

mentioning

confidence: 99%

Singing, sharing, soothing – biopsychosocial rationales for parental infant-directed singing in neonatal pain management

Ullsten

Eriksson

Klässbo³

et al. 2018

Music & Science

View full text Add to dashboard Cite

Infant-directed singing is a medium for parents and infants to communicate in a mutual relationship. Parental infantdirected singing is a multisensory, biopsychosocial communication that applies to ill and vulnerable hospitalised infants. The primary musical features of infant-directed singing are ideal for emotional coordination and sharing between parent and infant without the risk of over-stimulation. In this article, we suggest that parental infant-directed singing is regarded as a nonpharmacological emotion regulation intervention, which may modify the painful experience for both the infant and the parent before, during and after painful procedures in the neonatal intensive care context. Parents have the biopsychosocial resources to alleviate their infant's pain through infant-directed singing, if they are empowered to do so and coached in this process. A music therapist specialised in neonatal music therapy methods can mentor parents in how to use entrained and attuned live lullaby singing in connection to painful procedures. Pain and the vast amount of painful procedures early in infancy, combined with early parent-infant separation and lack of parental participation in the care of the infant during neonatal intensive care, place arduous strain on the new family's attachment process and on the infant's and parents' mental health, both from a short and long-term perspective. Therefore, we argue with biopsychosocial rationales, that live parental infant-directed singing should be promoted in neonatal pain care worldwide. Consequently, parents should be welcomed round the clock and invited as prescribed pain management for their infant.

show abstract

“…Therefore, due to the effect of gestational age on pain scores, it can be concluded that PIPP is a more accurate pain assessment tool, particularly in premature infants. This is the only multidimensional tool that has gestational age as one of its contextual indicators intended for premature infants' pain assessment (44).…”

Section: Discussionmentioning

confidence: 99%

Validation of the Persian Version of Premature Infant Pain Profile-Revised in Hospitalized Infants at the Neonatal Intensive Care Units

et al. 2017

View full text Add to dashboard Cite

show abstract

Escalas de avaliação de dor em recém‐nascidos: revisão integrativa1

Cited by 53 publications

References 49 publications

Ocorrência de dor em bebês internados em unidade de terapia intensiva neonatal de maternidade terciária

Ocorrência de dor em bebês internados em unidade de terapia intensiva neonatal de maternidade terciária

Singing, sharing, soothing – biopsychosocial rationales for parental infant-directed singing in neonatal pain management

Validation of the Persian Version of Premature Infant Pain Profile-Revised in Hospitalized Infants at the Neonatal Intensive Care Units

Contact Info

Product

Resources

About