Tijdschrift voor kindergeneeskunde
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Although during the past few years more knowledge on pain and analgesia in the neonate has been acquired, adequate treatment is not always given. To achieve better understanding and treatment of pain in newborn infants, a review of pain perception and pain assessment is given as well as guidelines regarding its prevention and treatment. A proper assessment and an adequate relief of pain contributes to the quality of care for the newborn infant.
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Tijdschr Kindergeneeskd · Apr 1993
[Pediatric Pain Groups. Management related to pain in hospitalized children].
By means of multidisciplinary Pediatric Pain Groups in hospitals possibilities are created to implement recent knowledge about prevention of pain and relief of pain in children. The activities of these groups are amongst others: developing and testing pain protocols, applying systematic pain assessment and giving information about pediatric pain. These activities result in a reduction of pain in children and in prevention of needless suffering of pain in hospitalized children.
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Based upon the definition of pain by the International Association for the Study of Pain, the concept of pain has been differentiated into nociception, sensation, experience and behaviour (Loeser's model). The physiology of the modulation of pain is represented by the theory of Melzack & Wall. Some specific childhood problems in the experience and the assessment of pain are discussed.