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  • Non-Pharmacological Pain Management

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    Still Doll
    138 tayangan19 halaman
    Non-pharmacological interventions can be used with or without pharmacological support. They can be used to minimise fear and distress, make pain more tolerable, teach and enhance coping strategies for the child. Children can exhibit: stress, fear and anxiety. Post-traumatic stress disorder in severe cases Enormous implications for the child, family and all hospital staff involved with these children on subsequent encounters.

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    Non-pharmacological interventions can be used with or without pharmacological support. They can be used to minimise fear and distress, make pain more tolerable, teach and enhance coping strategies for the child. Children can exhibit: stress, fear and anxiety. Post-traumatic stress disorder in severe cases Enormous implications for the child, family and all hospital staff involved with these children on subsequent encounters.

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    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
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    138 tayangan19 halaman

    Non-Pharmacological Pain Management

    Diunggah oleh

    Still Doll
    Non-pharmacological interventions can be used with or without pharmacological support. They can be used to minimise fear and distress, make pain more tolerable, teach and enhance coping strategies for the child. Children can exhibit: stress, fear and anxiety. Post-traumatic stress disorder in severe cases Enormous implications for the child, family and all hospital staff involved with these children on subsequent encounters.

    Hak Cipta:

    Attribution Non-Commercial (BY-NC)
    Unduh sebagai PDF, TXT atau baca online dari Scribd
    Tandai sebagai konten tidak pantas
    dari 19

    Non-pharmacological pain management

    Royal Childrens Hospital Melbourne Australia

    Painful procedures
    During painful procedures children can exhibit: stress fear anxiety

    Children's Pain Management Service, RCH, Melbourne

    Result of stress, fear and anxiety


    Abnormal pain behaviours Post-traumatic stress disorder in severe cases Enormous implications for the child, family and all hospital staff involved with these children on subsequent encounters

    Children's Pain Management Service, RCH, Melbourne

    Non-pharmacological interventions
    Can be used with or without pharmacological support Variety of techniques Effective as coping strategies Help make pain more tolerable

    Children's Pain Management Service, RCH, Melbourne

    For optimal efficacy


    Non-pharmacological interventions need: to be taught to parents and children to be taught to health professionals Experience for advanced interventions is necessary for: guided imagery hypnosis
    Children's Pain Management Service, RCH, Melbourne

    Goals of non-pharmacological interventions


    To minimise fear and distress To make pain more tolerable To give the child a sense of control over the situation and their behaviour To teach and enhance coping strategies for the child To instruct parents in techniques to assist their child

    Children's Pain Management Service, RCH, Melbourne

    Outcomes of successful nonpharmacological strategies


    To have a cooperative, calm, non-traumatised child To complete medical procedures successfully in a timely manner To have subsequent procedures performed with reduced fear and anxiety

    Children's Pain Management Service, RCH, Melbourne

    Indications
    The medical procedure should not be complex or prolonged The child needs to be willing to participate Pharmacological strategies should be considered as well

    Children's Pain Management Service, RCH, Melbourne

    Contraindications
    Non-pharmacological techniques should NOT be attempted during painful procedures without prior instruction and co-operation

    Surgical procedures Complex and/or long procedures Distressed, un-cooperative child

    Children's Pain Management Service, RCH, Melbourne

    Non-pharmacological techniques everyone can implement


    Information: explain, explain, explain Parents presence Choices and control Laughter and fun Deep breathing Heat / Cold

    Children's Pain Management Service, RCH, Melbourne

    Diversion
    Choices and control Diversion / distraction Play / relaxation Videos / DVDs / computer games

    Children's Pain Management Service, RCH, Melbourne

    Controlled breathing
    Bubbles Breathing Blowing

    Children's Pain Management Service, RCH, Melbourne

    Comforting touch
    Cuddles Stroking Massage Holding Rocking

    Children's Pain Management Service, RCH, Melbourne

    Imagination
    Story telling / books Guided imagery Favourite activity Magic

    Children's Pain Management Service, RCH, Melbourne

    Give information
    Explain at a level:

    the child can understand the child wants to know involve the parents

    Children's Pain Management Service, RCH, Melbourne

    Relaxation
    Deep breathing Relaxing from head to toe Music

    Children's Pain Management Service, RCH, Melbourne

    RCH pain management info:


    http://www.rch.org.au/anaes/pain/

    Children's Pain Management Service, RCH, Melbourne

    Pain control must be based on scientific fact, not on personal beliefs or opinions

    Children's Pain Management Service, RCH, Melbourne

    Finally

    Optimal pain management is the right of all patients and the responsibility of all health professionals
    Children's Pain Management Service, RCH, Melbourne

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