pediatric pain, pressure injuries, burns and abuse reporting

pain recognition

- verbal communication (it hurts, owww, booboo)

- crying, screaming, grunting

- grabbing body part, limping

- change in pace, energy level, agitation level, movement, facial exression

- may seek immediate support or push away from people

4 components of pain

1. behavioral

2. functional

3. emotional/psychological

4. physical

faces pain scale

Face, Legs, Activity, Cry, Consolability (FLACC) Behavioral Pain Scale

for pain assessment of a pt w/ cognitive impairment

Wong-Baker FACES Pain Rating Scale

self-assessment

- ages 3+

factors to manage, prevent, avoid pressure injuries

- immobility

- shear

- friction

- moisture, especially in children who are incontinent

stage 1 pressure injury

intact skin w/ localized area of non-blanchable erythema

- color does not include purple or maroon

stage 2 pressure injury

partial-thickness loss of skin w/ exposed dermis

- wound is viable, pink or red, moist

- no granulation, slough or eschar

stage 3 pressure injury

full thickness skin loss

- slough or eschar may be visible

- fascia, muscle, tendon, ligament, cartilage or bone not exposed

stage 4 pressure injury

full thickness skin and tissue loss w/ exposed fascia, muscle, tendon, ligament, cartilage or bone

- epibole or tunneling often occur`

child who's burned, their activity depends on

size and location of burn

children with a disability have increased likelihood of being

abused or neglected AND may have challenges communicating or physically getting away