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Checklist for assessing adequacy of pain management in children
| Pharmacologic strategies | Have the child and parent(s) been asked about their previous experiences with pain and their preferences for use of analgesics? Does the child or parent(s) have reservations about the use of opioids for pain treatment? Is the child being adequately assessed at appropriate intervals? Are analgesics ordered for prevention and relief of pain? Is the analgesic strong enough for the pain expected or the pain being experienced? Is the timing of drug administration appropriate for the pain expected or experienced? Is the route of administration appropriate for the child? Is the child adequately monitored for the occurrence of side effects? Are side effects appropriately managed? Has the analgesic regimen provided adequate comfort and satisfaction from the perspective of the child or parent(s)? |
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| Nonpharmacologic strategies |
Have the child and parent(s) been asked about their experience with and preferences for a given strategy? Is the strategy appropriate for the child's developmental level, condition, and type of pain? Is the timing of the strategy sufficient to optimize its effects? Is the strategy adequately effective in preventing or alleviating the child's pain? Are the child and parent(s) satisfied with the strategy for prevention or relief of pain? Are the treatable sources of emotional distress for the child being addressed? |
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