Family Centered Care and Pain

what is atraumatic care

to provide therapetutic care through interventions that eliminate/minimize the distress experienced by children and their families in healthcare

how to provide atraumatic care

1. prevent/minimze the child’s separation from the family

2. promote a sense of control

3. prevent or minimize bodily injury and pain

what are the three key elements of family centered care

1. recognizes family as the constant in the child’s life

2. considers needs of all family members in relation to care of the child

3. acknowledging diversity amongst different families

what are some nursing interventions that can be used when caring for a hospitalized child

1. promoting freedom of movement & play

2. maintaining routine

3. encourage independence

4. promote understanding

5. provide developmentally appropriate activities

6. provide socialization

7. foster parent-child relationships

8. provide educational opportunities

FLACC pain scale

a test used for infants 2 months-7 years old. A score of 0 is normal. It stands face, legs, activity, cry, and consolability

what is the PIPP pain scale

The premature infant pain profile given a mild score of 0-6, a moderate score of 7-12, and a severe score of 13-15

what is the NCCPC pain scale

the non-communicating children pain checklist is used for children who can’t verbalize their pain. It takes a look at facial expressions, body language, vocal expressions, activity, protective reactions, and physiological signs. Each category gets a scale 0-3 with the highest amount of pain being scored at 81

During what age range would you use the Wong-Baker FACES Pain Rating Scale

3-7 years old

What is the age range you would use the numeric pain scale

8+ years

what are pharmacologic pain management methods

1. non-opioid: for mild-moderate pain

2. opioid: moderate to severe pain

3. epidural: at any vertebral level (surgeries)

4. PCA/NCA: patient/nurse controls amount and frequency like with sickle cell

5. topical

pain prevention interventions

1. comfort

2. medication: acetaminophen, morphine

3. biobehavioral: non-invasive ways to distract patient for pain - music, movie, soothing, meditation

what is the acetaminophen/tylenol safe dosing?

10-15 mg/kg/dose q 4-6 hours

what is the ibuprofen/motrin safe dosing?

5-19 mg/kg/dose q 6-8 hours

can you use ibuprofen/motrin in children less than 6 months old

typically NOOOOO. Only in rare cases and if provider prescribes it so.

what is the safe morphine dosage for kids

0.1 mg/kg every 1-2 hours typically the IV route (sometimes subq)

If a kid had a fever what combo can you give them

Tylenol + Motrin combo every 3 hours