The Importance of Child Life and Pain Management During Vascular Access Procedures in Pediatrics

2006 ◽  
Vol 11 (3) ◽  
pp. 144-151 ◽  
Author(s):  
Gail A. Heckler-Medina
Keyword(s):  
Quality Of Care ◽  
Pain Management ◽  
Vascular Access ◽  
Pediatric Patients ◽  
Child Life ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Child Life Specialists

Abstract The author asks of the reader: Have you ever been called to start a peripheral intravenous (IV) catheter or place a peripherally inserted central catheter (PICC) in a child, and you wished someone else could do it? Performing vascular access procedures on children is considered by many one of the most stressful and difficult jobs. This article discusses the role of certified child life specialists (CCLSs) and some of the techniques used to assist children in coping with painful procedures as well as the necessity for proper assessment and pain management. The goal of this article is to eliminate the uncertainty of performing these procedures on pediatric patients. By making a few changes in your practice, one could dramatically increase successful outcomes and improve the overall quality of care provided to the patient.

The Role of Child Life in Pediatric Pain Management: A Survey of Child Life Specialists

2008 ◽  
Vol 9 (4) ◽  
pp. 320-329 ◽  
Author(s):  
Nancy F. Bandstra ◽  
Linda Skinner ◽  
Chantal LeBlanc ◽  
Christine T. Chambers ◽  
Ellen C. Hollon ◽  
...  
Keyword(s):  
Pain Management ◽  
Child Life ◽  
Pediatric Pain ◽  
Child Life Specialists

scholarly journals Child life specialists as facilitators of child participation : a thematic literature review

2021 ◽  
Author(s):  
Caron Mills
Keyword(s):  
Health Care ◽  
Personal Experience ◽  
Pediatric Patients ◽  
Health Care Team ◽  
Child Life ◽  
Child Life Specialists ◽  
Child Participation ◽  
Rights Of The Child ◽  
Number Of Factors

The child's right to participate is a fundamental right outlined in the UN convention on the rights of the child. Canada signed and ratified this convention in 1991. Through secondary literature and the author's personal experience this paper explores the child's right to participate in the context of canadian pediatric medicine. In particular, this paper examines if and how a child is encouraged to participate in their health care, and which members of the health care team facilitate this participation. The paper also outlines a number of factors that limit or enhance child participation. Recommendations and next steps are included in the paper with the purpose of enhancing the quality and amount of participation that is offered to pediatric patients within hospital settings. One recommendation that is developed and discussed is the increased role of the child life profession as a tool for enabling child participation.

Evaluating Effectiveness of the Use of an Extremity Stabilization Device for Vascular Access Procedures in Pediatrics

2021 ◽  
Author(s):  
Tricia Templet ◽  
Roger Rholdon ◽  
Ansley Bienvenu
Keyword(s):  
Statistical Analysis ◽  
Vascular Access ◽  
Chart Review ◽  
Pediatric Patients ◽  
Traditional Approach ◽  
Retrospective Chart Review ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Procedure Time ◽  
Placement Success

AbstractThe purpose of this study is to evaluate the effectiveness of SafeBoard, a Food and Drug Administration–approved extremity stabilization device, as an assistive method in performing peripherally inserted central catheter procedures on children 0 to 3 years of age. This is a retrospective chart review (n = 59) of vascular access procedures where SafeBoard was utilized (n = 32) in comparison to those procedures which utilized a traditional approach to placement (n = 27). Statistical analysis demonstrated significant effect on length of procedure time, number of personnel needed for procedure, and success of placement when SafeBoard was utilized. Obtaining vascular access in pediatrics can be a challenging endeavor. Most young pediatric patients require procedural sedation and/or assistive personnel as a “holder” for successful vascular access placement to occur. An alternative option for extremity stabilization may provide improved workflow and improved placement success, which in turn may positively affect workflow.

scholarly journals Child life specialists as facilitators of child participation : a thematic literature review

2021 ◽  
Author(s):  
Caron Mills
Keyword(s):  
Health Care ◽  
Personal Experience ◽  
Pediatric Patients ◽  
Health Care Team ◽  
Child Life ◽  
Child Life Specialists ◽  
Child Participation ◽  
Rights Of The Child ◽  
Number Of Factors

The child's right to participate is a fundamental right outlined in the UN convention on the rights of the child. Canada signed and ratified this convention in 1991. Through secondary literature and the author's personal experience this paper explores the child's right to participate in the context of canadian pediatric medicine. In particular, this paper examines if and how a child is encouraged to participate in their health care, and which members of the health care team facilitate this participation. The paper also outlines a number of factors that limit or enhance child participation. Recommendations and next steps are included in the paper with the purpose of enhancing the quality and amount of participation that is offered to pediatric patients within hospital settings. One recommendation that is developed and discussed is the increased role of the child life profession as a tool for enabling child participation.

scholarly journals Pain management after lung surgery

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Maria Frödin ◽  
Margareta Warrén Stomberg
Keyword(s):  
Quality Of Care ◽  
Pain Management ◽  
Postoperative Pain ◽  
Severe Pain ◽  
Postoperative Pain Management ◽  
Lung Surgery ◽  
Moderate Pain ◽  
Number Of Patients ◽  
Severe Postoperative Pain

Pain management is an integral challenge in nursing and includes the responsibility of managing patients’ pain, evaluating pain therapy and ensuring the quality of care. The aims of this study were to explore patients’ experiences of pain after lung surgery and evaluate their satisfaction with the postoperative pain management. A descriptive design was used which studied 51 participants undergoing lung surgery. The incidence of moderate postoperative pain varied from 36- 58% among the participants and severe pain from 11-26%, during their hospital stay. Thirty-nine percent had more pain than expected. After three months, 20% experienced moderate pain and 4% experienced severe pain, while after six months, 16% experienced moderate pain. The desired quality of care goal was not fully achieved. We conclude that a large number of patients experienced moderate and severe postoperative pain and more than one third had more pain than expected. However, 88% were satisfied with the pain management. The findings confirm the severity of pain experienced after lung surgery and facilitate the apparent need for the continued improvement of postoperative pain management following this procedure.

scholarly journals Comparison of the Quality of Life of Patients with Breast or Colon Cancer with an Arm Vein Port (TIVAD) Versus a Peripherally Inserted Central Catheter (PICC)

2021 ◽  
Vol 28 (2) ◽  
pp. 1495-1506
Author(s):  
Brent Burbridge ◽  
Hyun Lim ◽  
Lynn Dwernychuk ◽  
Ha Le ◽  
Tehmina Asif ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cancer Patients ◽  
Well Being ◽  
Venous Access ◽  
Peripherally Inserted Central Catheter ◽  
Central Catheter ◽  
Access Device ◽  
The Mean ◽  
Venous Access Device

Introduction: Venous access is a crucial element in chemotherapy delivery. It remains unclear whether cancer patients prefer a port to a peripherally inserted central catheter (PICC). Our study aimed to assess cancer patients’ satisfaction with their venous access device and to compare the quality of life (QoL) of subjects with a PICC to those with a port. Methods: In this prospective cohort study, EORTC QLQ-C30, and a locally developed quality of life survey (QLAVD), designed to assess satisfaction with venous access devices, were administered to breast or colorectal cancer patients over a one-year period following the device insertion. Mixed effects models were used to assess changes on mean scores at different time points. Results: A total of 101 patients were recruited over a three-year period, (PICC group, n = 50; port group, n = 51). Survey response rates for months one and three were 72% and 48%, respectively. Overall, no significant differences were noted between the two groups in relation to EORTC QOL. At three months, the mean pain scores were 3.5 ± 2.3 for the port and 1.3 ± 0.75 for PICC (<0.001). The mean score for a negative effect of the venous access device on psychosocial well-being was 6.0 ± 4.1 for PICC and 3.0 ± 2.7 for the port (p = 0.005). Complications related to PICCs occurred in 38% patients versus 41% with a port (p > 0.24). Conclusions: Although subjects with a port experienced more pain during the device insertion or access for chemotherapy, it had a smaller negative impact on psychosocial scores than the PICC. No significant differences in complications rates were observed between the two devices.

scholarly journals Regional differences in quality of care for heart failure: the role of patient, physician, and hospital characteristics

2002 ◽  
Vol 39 ◽  
pp. 452-453
Author(s):  
Edward P. Havranek ◽  
Pam Wolfe ◽  
Frederick A. Masoudi ◽  
Harlan M. Krumholz ◽  
Saif S. Rathore ◽  
...  
Keyword(s):  
Heart Failure ◽  
Quality Of Care ◽  
Regional Differences ◽  
Hospital Characteristics
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