An Accessment of the Management of Post Operative Pain in Children Admitted to the Pediatric Surgery Unit of the Korle-bu Teaching Hospital (kbth)

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Authors : Priscilla Mawuli Awo Ekpale, IMADE PRISCILIA UHUANMWEN

Abstract:

The oxford dictionary defines pain as a “highly unpleasant physical sensation caused by illness or injury”. It is also defined by the International association of pain as “an unpleasant sensory and emotional experience associated with actual or potential tissue damage” (Fisher, 2000). Now internationally it has been accepted that, pain should be expected, carefully and efficiently restricted in children irrespective of how old or mature they are and how severe their source of pain is considered to be (Fisher & Morton 1998).

A number of researches have been done in the area of pediatric pain and this has led to an improvement in the understanding of pain in children by both their parents or guardians and their clinical health care team. This not withstanding there is still some amount of challenge with the evaluation of pain in children.

Even though internationally so many studies have been conducted in the area of pediatric pain assessment and management, in Ghana there has been little or no study conducted in this area. Even obtaining local information about the assessment of post operative pain in children was not fruitful. As a result one cannot prove that post operative pain in children in Ghana who undergo one surgery or another receives the best control therapy.

This study is to assess the management of post operative pain in children in the biggest tertiary hospital in Ghana and information gathered could inform further studies in this area that can help improve the care given to children when it comes to the management of their post operative pain.

References:

[1]. Anand KJS, Carr DB (1989). The neuroanatomy, neurophysiology, and neurochemistry of pain, stress, and analgesia in newborns and children. Pediatr Clin N Am ;36: 795–822

[2]. Coll, A.M Ameen, J.R. and Mead D. (2004). Post operative pain assessment tools in day surgery literature review. Journal of advance nursing. 46(2), 124-133

[3]. D Baroudi, (2007), Post Operative Pain Management In Children. The Internet Journal of Health. (7): 2.

[4]. Fisher SM. (2000) Postoperative pain management in pediatrics. Br J Perioper Nurs. Feb; 10(2):80-4

[5]. Fisher SM. (2000) Postoperative pain management in pediatrics. Br J Perioper Nurs: the Journal of the National Association of Theatre Nurses 10(2): 80-84

[6]. Goldschneider et al, (2001) Pain and its management in children. In: Loeser JD, ed. Bonica’s Management of pain 3rd ed. Philadephia, PA: Lippincott Willian and Wilkings

[7]. http://www.articlesbase.com/medicine-articles/what-is-postoperative-pain-604553.html

[8]. Jacques E.(2009), CR IES Scale – Pain assessment tool, CR IES Observer Pain scale.

[9]. Jacques E.(2009) McGill Pain scale for pain assessment- McGill Pain questionnaire

[10]. Jacques E.(2009), Comfort Scale for Pain Assessment - comfort observer pain scale.

[11]. Jacques E.(2009), Numerical Pain Assessment tool for person in pain

[12]. Jacques E.(2009), Wong Baker Faces Pain scale A Pain assessment tool used by people in pain.

[13]. Kokinsty, E. and Thornberg E. (2003). Post operative pain control in children.

[14]. Lee, J.Y and Jo YY (2014) Attention to post operative pain control in children Korean J Anesthesiol, Mar; 66(3):183-8.10.4097/kiae.2014.66.3.183 Epub.2014 march 28.

[15]. Marther L, Mackie J. The incidence of post operative pain in children. Pain 1983;15: 271-82

[16]. Matthews (2008) Management of post operative pain in children, U.S. Pharm 33(3): H S10-HS15 MedlineWeb of Science

[17]. Schechter NL, Allen DA, Hanson K status of pediatric pain control: a comparison of hospital analgesic usage in children and adults. Pediatrics 1986: 77:11-15

[18]. Sutters et al, (2004) A randomized clinical trial of the effectiveness of a scheduled oral analgesic dosing regimen for the management of post operative pain in children following tonsillectomy, Pain: 110;49-55

[19]. Taddio A et al, 1994 Effect of neonatal circumcision on pain responses during vaccination in boys. Lancet 345:291-2

[20]. Walco GA, Cassidy RC, Schechter NL Pain, Hurt and Harm: the ethics of pain control in infants and children. N Engl J Med 1994;331: 541-544

[21]. Wong et al (2001) Essentials of Pediatric Nursing ed. 6, St. Louis, 1301 copyrighted Inc