Pain management in children: assessment and documentation in burn units.
Burns are considered to be among the most painful types of trauma. Especially the pain of children is often unsatisfactorily treated. This study investigates the assessment and documentation of pain by physicians and nurses in children suffering from burns. Pain management was considered sufficient in 80% of ventilated patients and in 60% of non-ventilated patients. The minority of the staff regarded pain management as sufficient during dressing changes after the acute phase and during nursing care. Thirty-eight per cent of the physicians and 58% of the nurses documented the pain. Standardized documentation was used by fewer than 20% of the staff. Pain documentation was not considered relevant for further therapy by 48% of the physicians. More than half of all participants believed that an improvement of the pain therapy performed in their hospital was necessary. Standardized documentation, an algorithm for the application of analgesics, and more training in pain management were desired by many staff members.
Köhler
H
H
University Children's Hospital, Düsseldorf, Germany. hkohler@helix.mgh.harvard.edu
Schulz
S
S
Wiebalck
A
A
D002053:Burn Units / Q000592:standards*; D002056:Burns / Q000150:complications / Q000628:therapy*; D002648:Child; D004282:Documentation / Q000592:standards; D005858:Germany; D006801:Humans; D008505:Medical Staff, Hospital / Q000592:standards; D009741:Nursing Staff, Hospital / Q000592:standards; D010146:Pain / Q000209:etiology; D010147:Pain Measurement; D011787:Quality of Health Care; D012121:Respiration, Artificial