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THE MANAGEMENT OF POSTOPERATIVE PAIN IN CHILDREN. NEW EVIDENCE

Dousis Evangelos, Evagelou Eleni

Friday, January 5, 2018

Publication Year:

2018

Authors:

Keywords Index:

Pages: 106-118

DOI: 10.5281/zenodo.2097766

Abstract:

Introduction:The management of the postoperative pain in children is an important part of nursing practice and a major challenge for hospitalized children, their parents, family and health professionals, especially nurses. Children continue to experience significant post-operative pain despite the efforts made by nurses with severe effects on their post-operative health. Purpose: The review of the latest research evidence for optimal management of postoperative pain in children. Method: This bibliographic review used keywords to find articles related to the subject from digital databases (PubMed, Scopus, Google Scholar, Iatrotek). The search focused to bibliographic reviews, systematic reviews and meta-analysis of the last five years. Results:The review of the literature has shown that new guidelines have been issued for the management of postoperative pain in children and the obstacles to the treatment of postoperative pain and the implementation of the guidelines have been studied. The guidelines focus on the preoperative patient training and planning of perioperative pain management, pain evaluation, use of multifactorial and pharmacological therapies, physical and cognitive behavioral methods, organizational structures, policies and procedures and the management of pain after leaving the patient from the hospital. There are a number of obstacles from the health system, health professionals, doctors, nurses, children and their parents, which do not allow effective postoperative pain management.Conclusions: Nurses are faced with multiple obstacles in order to effectively manage postoperative pain in children. Despite the significant part of their nursing practice for managing post-operative pain in children and the methods they use to achieve it, they seem to have to better organize their specific pain management practice. The guidelines can meet this need.

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