Procedural pain distraction

Abstract

This chapter provides a brief overview of paediatric procedural pain, highlighting some of the negative repercussions of untreated pain. The behavioural approach of distraction is covered in depth, starting with the theoretical underpinnings of this pain management intervention and then summarizing the distraction literature across children’s pain during immunizations, venous access, burn debridement and treatment, and cancer treatments. The chapter concludes with a discussion of some of the other reviews of this literature as well as clinical and research considerations when examining distraction for paediatric pain management.

Psychological Interventions for Vaccine Injections in Children and Adolescents

“…Given that distraction is most effective when it is interesting, enjoyable, and engaging, the child’s ability to choose and interact with the video distracter may be critical. 49 The reviewed video distraction interventions generally relied on older technology (ie, DVD players and televisions). This may pose some impediment to clinical settings when required resources are limited or unavailable for families to use.…”

Mobile virtual reality distraction reduces needle pain and stress in children?

“…The effectiveness of VR has been demonstrated in a large number of studies carried out both in healthy populations Hoffman et al, 2003;Kenney & Milling, 2016;Magora et al, 2006) as well as among hospital patients during medical procedures such as burn injury treatments (Hoffman et al, 2011), chemotherapy (Chirico et al, 2016a), and other painful and stressful procedures-dental treatment and urology procedures (Indovina et al, 2018) and needle-related procedures (Birnie et al, 2014;Cohen et al, 2014;Gold & Mahrer, 2017;Goodenough et al, 1997;MacLaren & Cohen, 2005;Mason et al, 1999;.…”

Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

“…Distraction includes all efforts to draw attention away from the medical procedure to something more interesting and engaging . Reviewed RCTs and quantitative studies described music, books, toys, videogames, virtual reality, pet therapy, blowing bubbles, or conversations with parents as distraction techniques …”