By Lynnda M. Dahlquist (auth.)
ISBN-10: 0306460858
ISBN-13: 9780306460852
ISBN-10: 1461547571
ISBN-13: 9781461547570
Pain is a posh, multidimensional phenomenon, with physiological, behav ioral, emotional, cognitive, and developmental elements (Zeltzer, Barr, McGrath, & Schechter, 1992). To successfully assessment and deal with soreness in teenagers, the clini cian has to be capable of determine the original methods those complicated dimensions engage for the person baby and combine those dimensions right into a therapy plan. this is a daunting job. the aim of this booklet is to supply a framework for conceptualizing discomfort difficulties in childrens which may consultant the practitioner in constructing an evaluate and remedy plan that's optimum for the person baby. This e-book isn't in tended to be a entire, exhaustive evaluate of the literature on soreness deal with ment in young ones. There are a number of first-class books of this nature (e.g., Bush & Harkins, 1991: McGrath, 1990; Ross & Ross, 1988). as a substitute, this publication is an at tempt to stipulate an speculation trying out technique of case conceptualizing and deal with ment making plans that may aid constitution the duty of sorting during the advanced interrelationships that be sure kid's pain.
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Extra resources for Pediatric Pain Management
Sample text
As is true in all aspects of clinical practice with children, environmental factors can have a significant impact on the consequences of pain, the meaning of the child's pain, ongoing stressors, available resources, and social supports. Cultural factors that may influence the expression of pain and attitudes toward pain management also should be considered. 3 Generating Hypotheses Regarding Physical Contributors to the Child's Pain The next step in the pain conceptualization process involves generating as many hypotheses as possible to account for the child's pain.
Therefore, one must assume that, for every individual, psychological (cognitive and emotional) factors contribute in some way to the experience of pain. The important goal ofthe assessment process, therefore, is not to determine ifpsychological factors are playing a role for this individual, but rather to determine how psychological factors function for this particular individual. As part of this process, one can generate specific hypotheses regarding cognitive and emotional factors that might be contributing to or exacerbating the child's pain problem.
TO WHAT DEGREE IS THE CHILD'S PAIN BEHAVIOR POSITIVELY REINFORCEDl - - - - - - - - - - - - - - - - - In other words, does the child's pain behavior result in pleasant or otherwise desired events that increase the likelihood of the pain behaviors occurring again? Some degree ofpositive reinforcement of pain behavior is almost inevitable, given the tendency of adults to respond in a protective manner to a child in pain. Pain behaviors, at the minimum, are noticed by adults, and attention, in and of itself, can be an extremely powerful reinforcer.
Pediatric Pain Management by Lynnda M. Dahlquist (auth.)
by Michael
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