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PAIN IN THE NICU NEONATE - Coggle Diagram
PAIN IN THE NICU NEONATE
ASSSESSMENT
Barriers
Non-verbal Communication
No standardized/universal approach to assess neonatal pain
Objective
Pain Scales
PIPP Scale
NIPS
N-PASS
CRIES
COMFORT Scale
Inconsistancy
Who is assessing
Their willingness/ability to assess and interpret
Assessment Skills
Training
Experience
No standardized/universal approach to assess neonate pain
CAUSES
Prolonged/ Chronic
mechanical ventilation
chest tubes
NEC
birth trauma
Post-Op
Hernia repair
VP shunt
PDA ligation
Acute
circumcision
tracheal suction
heel sticks
lumbar puncture
Routine Care
rectal stimulation
daily weights
Diaper changes
adhesive tape removal
probe burns
MANAGEMENT
Pharmacological
Oral Analgesics
Opioids
Topical
Non-pharmacological
Positioning
Cluster care/ minimum stimulation
Music therapy
Kangaroo Care
Swattling
Glocose
Nonnutritive Sucking
Heel warming
EFFECTS
Short Term
Behavioral
Physiological
Vital sign changes
Hormonal changes
Long Term
Increased behavioral response
Altered neurodevelopment
Altered pain response
Altered somatosensory function
DEVELOPMENTAL
Neurological System
Ability to Sense Pain
Timeline of sensory development
Gestational Anatomy factors
Begins at 24 weeks gestation
Pain Pathway
Noicieptors
Myelin Sheath
PNS & CNS