Improving the management of children's pain in A&E

Article Abstract:

There is evidence that children being treated in accident and emergency departments do not always receive the pain relief which they require. It is widely assumed that young children do not feel pain, and that a child will always cry if he or she is in pain. Both assumptions are incorrect. Furthermore, children sometimes do not admit to being in pain as they are afraid of receiving an injection or of being ignored. It is vital that health professionals looking to improve pain management in children consider issues such as the use of combinations of drugs, the use of patient-controlled analgesia and methods of administration which avoid the intramuscular route.

Management, Pain in children, Pediatric pain

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An audit of pain management in acute sickle cell crisis

Article Abstract:

People experiencing a severe attack of sickle cell disease (SCD) need pain relief on admission to hospital. Hospitals in areas without a large black population may not be familiar with this chronic illness and may not give appropriate medication quickly enough. A survey of SCD pain management was carried out at an NHS Trust hospital in Carshalton, England, to assess the treatment patients received. Guidelines for better pain management were drawn up as a result of the survey. Factors which increase risk of attacks of SCD are given.

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Pain from sickle-cell crisis

Article Abstract:

Painful sickle-cell crisis represents the highestpropotion of visits to A&E departments, and contributing factors include stress, extremetemperatures, dampness and fatigue. There are often now obvious physiological signs of pain andnurses have to treat a belief rather than a sound entity with objective symptoms. Nurses mayoften rely solely on narcotic analgesia and research shows that nurse do not give appropriatepriority to the giving of analgesia.

Pain

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