Parents are sometimes faced with a situation in which we have to assess how much pain a child has. It doesn't always happen that the more you cry the more it hurts. The tears are not related to the degree of pain you feel. Children do not know how to explain the level of suffering they have as an adult.
On our site we have turned to the pediatrician Iván Carabaño to explain what the pain threshold in childhood and how we parents can measure pain in children.
Pain is an unpleasant emotional and sensory experience that is associated with actual or potential bodily harm. It is the number one cause of suffering in children who attend an emergency department.
Do you only have to consider pain when it appears?
Not only do you have to take into account pain, but also the fear of pain. This can be caused by the disease, the diagnostic procedures and / or treatment that the patient receives.
Is the pain a major or just a minor aspect?
Classically, anxiety and pain in children have been minimized, in recent years the treatment of both has begun to be understood as essential and as a challenge for quality care. You have to anticipate pain, and fight it energetically.
How is pain measured in children?
In the pediatric age, pain can be evaluated through various scales. Here are the three most used:
1- FLACC scale (Face-Legs-Activity-Consolability). It applies to children under three years of age or uncooperative. Measure objective parameters.
|Relaxed face or neutral expression||Wrinkle your nose||Tense jaw|
|Legs||Relaxed||Restless||Hit the feet|
|Activity||Lying down and still||It bends over the abdomen shrinking the legs||Rigid|
|Crying||Does not cry||He complains, he groans||Cry loud|
|Comfort capacity||Satisfied||Can be distracted||Difficulty comforting you|
0: no pain; 1-2: mild pain; 3-5: moderate pain; 6-8: severe pain; 9-10: excruciating pain
2.-Wong-Baker face scales. Applicable to children from 3 to 7 years old who are collaborators. The child subjectively selects the face that best suits his specific situation.
0: does not hurt; 1: it hurts a little; 2: it hurts a little more; 3: it hurts even more; 4: it hurts a lot; 5: it hurts a lot.
3.-Walco and Howite visual analog scale. It will apply to children over seven years old. The child will subjectively indicate in a numerical ruler his degree of pain.
Or: no pain; 1-2: mild pain; 3-6: moderate pain; 7-8: severe pain; 9-10: maximum pain imaginable.
Why does it make sense to measure the intensity of pain in children?
Because this fact will condition the treatment. There are different drugs with different "analgesic ceiling" (potency to remove pain), each of which must be applied properly.
You can read more articles similar to How can we measure pain in children, in the Health on site category.