Navigation Links
Some Parents Aren't Giving Kids Pain Meds Post-Surgery
Date:9/9/2009

Fears of addiction or underestimation of child's discomfort may be to blame, experts say

WEDNESDAY, Sept. 9 (HealthDay News) -- Twenty-five percent of children aren't getting sufficient pain medication from their parents after common surgical procedures, such as having their tonsils out, a new study finds.

It's not clear at this point what the ramifications of the finding are, or the reasons for it.

In a worst-case scenario, kids who don't get enough medication may not be able to swallow enough water, leading to dehydration and even hospitalization, said Dr. Kenneth Goldschneider, director of the division of pain management at Cincinnati Children's Hospital. He was not involved in the new study.

Another expert, Dr. Patricia Cantwell, professor and chief of pediatric critical care medicine at the University of Miami Miller School of Medicine, agreed that many young patients at her facility end up back in the emergency room as a result of unresolved pain issues.

Under-medication could affect large numbers of children. According to background information in the article, published in the October issue of Pediatrics, upwards of 5 million children in the United States undergo surgery each year, with three-quarters having significant pain afterward.

Tonsillectomy and adenoidectomy (to remove the adenoids) are among the most widely performed procedures in younger people.

As hospital stays get shorter and more procedures are done on an outpatient basis, medication is given more often in the home.

"The typical way in which pain medicine is given, I would say, is the surgical team giving the family a prescription, then you go out the door and fill it," said Cantwell.

The study authors, from the University of California, Irvine and the Children's Hospital of Orange County, Calif., looked at 261 children aged 2 to 12 who had undergone one of these two procedures.

On the first day home, parents reported that 86 percent of their children were experiencing "significant overall pain." Despite that, one in four children received minimal pain medication: zero or one medication dose that day.

Three days after surgery, two-thirds of the children still had significant pain, with 41 percent getting minimal medication, according to the study.

The study authors speculated that under-medication could be due to parents' fears that their child will become addicted to medications such as Tylenol with codeine. Parents might also not realize how much pain their children are in, especially if the child is too young to communicate verbally.

"There's a lot of nervousness on using pain medications," Goldschneider said.

The study also found that parents with less education and with children who were "more reactive" were less likely to give pain medications, while parents with impulsive children were more likely to follow dosing instructions.

Children may also just have trouble swallowing the pills, raising the issue of whether other "delivery systems," such as a patch, might be more useful, Cantwell said.

"We need to educate parents on how to use these medications," Goldschneider said.

A second study in the same issue of the journal found a 70 percent jump in venous thromboembolisms (VTEs) -- blood clots that usually occur in the veins of the legs -- diagnosed at children's hospitals between 2001 and 2007.

In 2007, 58 cases of VTE per 10,000 hospital admissions were recorded, versus 34 per 10,000 in 2001. Almost two-thirds of the children had underlying medical conditions, most commonly cancer, the study found.

The authors, from the University of Pennsylvania and the Children's Hospital of Philadelphia, could not say if the increase was the result of more actual cases or better detection.

More information

There's more on pain and pain management in children at the University of Michigan Health System.



SOURCES: G. Patricia Cantwell, M.D., professor and chief, pediatric critical care medicine, University of Miami Miller School of Medicine; Kenneth Goldschneider, M.D., director, division of pain management, Cincinnati Children's Hospital; October 2009, Pediatrics


'/>"/>
Copyright©2009 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Informational handout key to giving parents a better understanding of CT radiation risks
2. Many Parents Share Genetic Test Findings With Kids
3. Giving CPR Kits to Kids Nudges Parents to Learn
4. Psoriasis Cure Now offers Back to School Resources for Parents of Children with Psoriasis
5. Adult offspring of parents with PTSD have lower cortisol levels
6. Parents perceptions can hamper kids asthma care, study finds
7. Parents Worries Hamper Kids Asthma Treatment
8. Parents PTSD May Boost Stress in Offspring
9. UCLA/RAND study shows that many children of HIV-positive parents are not in their custody
10. Survey From The Partnership and MetLife Foundation Reveals Important Role Todays Grandparents Play in Teens Lives
11. Tips for Parents: Teaching Children to Resolve Conflicts
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Some Parents Aren't Giving Kids Pain Meds Post-Surgery
(Date:10/13/2017)... ... October 13, 2017 , ... ... ‘17, and Jennifer Huggins, PharmD ’17, along with clinical associate professor Janice ... of cardiovascular diseases during the 15th Annual Women’s Health Conference. The SIU ...
(Date:10/13/2017)... ... October 13, 2017 , ... Ellevate Network, the leading network ... advocate for action towards gender equality at their inaugural Summit in New York City ... and reached a social audience of over 3 million. To watch the Mobilize Women ...
(Date:10/13/2017)... ... ... “The Journey: From the Mountains to the Mission Field”: the story of a missionary ... Journey: From the Mountains to the Mission Field” is the creation of published author, ... ages and currently teaches a class of ladies at her church, which she has ...
(Date:10/12/2017)... ... 2017 , ... The company has developed a suite of ... authorities worldwide. From Children’s to Adults 50+, every formula has been developed by ... , These products are also: Gluten Free, Non-GMO, Vegan, Soy Free, Non-Dairy*, Preservative ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... Restoration, has recently contributed a medical article to the newly revamped Cosmetic ... Mohebi’s article spotlights the hair transplant procedure known as Follicular Unit Extraction ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... -- NDS received FDA 510(k) clearance in May 2017 for its highly ... designed for endoscopy environments. An innovative secondary monitor solution, ZeroWire ... support the improvement of patient outcomes, procedural efficiency, and the lowering ... ... ...
(Date:10/5/2017)... , Oct. 5, 2017  In response ... of Oral and Maxillofacial Surgeons (AAOMS) released prescribing ... – to be used as a first-line therapy ... Recognizing the ... AAOMS White Paper "Opioid Prescribing: Acute and Postoperative ...
(Date:10/4/2017)... Mass. , Oct. 4, 2017 ... of single-use, self-contained, illuminating medical devices, today announced ... National Health Surveillance Agency (or Agência Nacional de ... The first single-use, cordless surgical retractor with integrated ... provides optimal access, illumination and exposure of a ...
Breaking Medicine Technology: