HDF 378K Lecture Notes - Lecture 7: Pain Management, Pain Scale, Facial Expression

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Infants do not feel pain in same way as adults pain response is reflexive and no processed or remembered. Pediatric pain gained focus in the 70"s it was found that children got far less analgesia than adults who were undergoing the same operative procedures. Restraint or pappoosing, but no sedation was used for infants undergoing circumcision. International organization for the study of pain www. iasp-pain. org. 3 basic ways to measure pain in children: Faces pain scale: recently revised now shows more neutral faces. Dow not have that final face with tears. Flacc scale: face, legs, activity, cry, and consolibility, for infants, rates displays of distress grimacing, crying, rigid limbs, each of the five categories is scored from 0-2, then all points added for a total score of 0-10. Children and teens have trouble describing pain due to limited vocabulary and experience. Children may see pain as a consequence of bad behavior or something they did wrong punishment.

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