Evaluation of pain in neonates and children in intensive care

Bottega, Fernanda Hanke; Benetti, Eliane; Benetti, Priscila; Gomes, Joseila; Stumm, Eniva Miladi Fernandes

doi:10.9789/2175-5361.2014v6n3p909

Cited by 2 publications

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“…Uma pesquisa que objetivou conhecer as ações da equipe de enfermagem referentes à avaliação da dor em neonatos e crianças durante o processo de hospitalização em unidades de terapia intensiva reforçou achados desse estudo, apontando como barreira para tratar a dor em pediatria o déficit de conhecimento dos profissionais de enfermagem (17) .…”

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Percepções dos profissionais sobre a dor neonatal: estudo descritivo

et al. 2018

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Aim: to know the perceptions of health professionals about pain in a neonatal intensive care unit. Method: this is an exploratory, descriptive, qualitative study, carried out from March to November 2013 with 10 nurses, 40 nursing technicians, two physiotherapists and six nursing residents of a School Maternity in Rio de Janeiro. The data collection technique was an educational intervention, where the speeches were transcribed and submitted to the analysis of thematic content. Results: three categories emerged: "Identifying and evaluating newborn pain in painful situations"; "Promoting non-pharmacological management of pain"; "Identifying the barriers to pain management in the Neonatal Unit". Conclusion: in the perception of the professionals, the pain exists, and the evaluation and the management are present in their daily life; however, the knowledge about the subject is still embryonic and needs to be deepened so that there is applicability in the clinical practice of care.

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Percepções dos profissionais sobre a dor neonatal: estudo descritivo

et al. 2018

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“…Identifying and assessing pain is both an obstacle and a challenge for nurses. Professionals sensitivity to NB pre-verbal language is essential so that they can provide appropriate and humanized treatment to meet their needs 6 . Added to the discussions and reflections originated, comes the question that guides this research: does the nurse recognize pain as the fifth vital sign?…”

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Pain as the fifth vital sign: nurse’s practices and challenges in a neonatal intensive unit care

Barros¹,

Luiz²,

Mathias³

2019

Brazilian Journal of Pain

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BACKGROUND AND OBJECTIVES:The importance of recognizing how the nurse acts in the identification, assessment, treatment, and relief of pain since the newborn is not able to express it orally. The objective of this study was to identify the practices and challenges of the nurse in the assessment and treatment of pain in newborns of a neonatal intensive care unit of a reference hospital in the western region of the Brazilian Amazon. METHODS: A descriptive, field-based, qualitative approach was chosen. Eleven nurses participated in the study, starting with an interview, following a semi-structured script. The content analysis method was used for data analysis. RESULTS: The participants do not recognize the term "fifth vital sign" in the evaluation of pain, but they believe in the ability of the newborn to feel pain, identifying it mainly by the cry and facial expression. Among the procedures considered most painful are punctures and aspiration. Nurturing and non-nutritive sucking are among the actions most indicated to prevent and relieve pain. CONCLUSION: We suggest the implementation of protocols, standards, and routines for the assessment and quantification of pain since when not assessed, it can prolong the hospitalization time. The perception of the nurse in the identification of pain signs in a systematized manner, promotes quality and humanized care, and reduces injuries.

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Evaluation of pain in neonates and children in intensive care

Cited by 2 publications

References 5 publications

Percepções dos profissionais sobre a dor neonatal: estudo descritivo

Percepções dos profissionais sobre a dor neonatal: estudo descritivo

Pain as the fifth vital sign: nurse’s practices and challenges in a neonatal intensive unit care

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