Pediatric Pain Measurement, Assessment, and Evaluation

• Published in: Seminars in pediatric neurology Vol. 23; no. 3; pp. 189 - 200
• Main Authors: Manworren, Renee C.B., Stinson, Jennifer
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-08-2016
• Subjects: Adolescent; Child; Child, Preschool; Humans; Infant; Infant, Newborn; Pain - diagnosis; Pain Management; Pain Measurement
• ISSN: 1071-9091; 1558-0776
• DOI: 10.1016/j.spen.2016.10.001

Assessment provides the foundation for diagnosis, selection of treatments, and evaluation of treatment effectiveness for pediatric patients with acute, recurrent, and chronic pain. Extensive research has resulted in the availability of a number of valid, reliable, and recommended tools for assessing childrenʼs pain. Yet, evidence suggests childrenʼs pain is still not optimally measured or treated. In this article, we provide an overview of pain evaluation for premature neonates to adolescents. The difference between pain assessment and measurement is highlighted; and the key steps to follow are identified. Information about self-report and behavioral pain assessment tools appropriate for children are provided; and factors to be considered when choosing a specific one are outlined. Finally, we preview future approaches to personalized pain medicine in pediatrics that include harnessing the use of potential digital health technologies and genomics.