Methods of assessment of postoperative pain in children with impaired cognitive functioning
Keywords:
pain, postoperative pain, pain measurement, children, mental retardationAbstract
Pain is an experience which first of all protect and warn people against immediate danger. Unfortunately, often leads to unnecessary suffering. In such situation it should be effectively relieved. The basis to efficient management of pain is its assessment. Self report is the best choice in evaluation of pain, but in children, especially with cognitive impairment is it not easy because of their difficulties in communication.
The main aim of the study was analysis of literature related to possibility of effective assessment of pain in children with impaired cognitive functioning. Earlier publications show that their pain is rare assessed and if it is done, the score is lower then in healthy children. They receive less analgesics than healthy peers. Postoperative pain - its assessment is special problem in this individuals. Exist scales, especially behavioral which should be popularized and commonly used, what can improve management of postoperative pain in cognitive impaired children.
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