Development of a Pediatric Burn Pain and Anxiety Management Program

摘要: To facilitate effective management of pain and anxiety, to permit more objective assessment changes in this management, a anxiety guideline was developed has been followed uniformly for 3 years. The describes four patient care categories: (1) ventilated acute, (2) nonventilated (3) chronic (4) reconstructive. A small consistent formulary emphasized. specific background, procedural, transition each category. All medications given all acutely burned children admitted the Institute 12 consecutive months were recorded, daily discomfort scores noted using 5-level action-based bedside scoring system. Doses individual calculated as mg per kg patient-day category, doses found be within specifications. efficacy judged by scores: background pain, procedural adequate categories. There no complications related overmedication experienced during interval. Our develop that: safe over broad range ages injury acuities seen unit, explicit its recommendations, had limited optimize staff familiarity with agents used, took advantage presence nurse continuously evaluate intervene when needed through dose-ranging. Although many drugs are appropriate, our choices based on institutional simplicity. This process developing clear can duplicated any unit.