Children are sent to the doctor for the ‘boo-boo’, but pediatricians unprepared

By | April 8, 2013

pain in children-pediatricians

The ‘boo-boo‘, children’s pain is the main reason for half of all visits to the pediatrician, but it is not always able to understand the intensity, necessary first step to finding a treatment. To admit it are the same experts of the Italian Federation of Pediatricians (FIMP), which in one of the sessions of Capri C in one of the sessions of the Capri Campus 2013 he formed a group of operators in charge of spreading the use of  ‘thermometers pain’. The problem, warn doctors, should not be underestimated, ’cause in 2-3% of cases and’ the alarm bell of serious illnesses. ”The child is not easy to identify the pain – says the president FIMP Giuseppe Mele – both for its difficulty ‘in communicating and because’, especially in the case of the chronic, endurance and greater than adults. Our efforts must be directed to helping the child to express his grief, and measure them with the appropriate scales still underutilized.”

The cause of the pain can be headaches and migraines, found in 20% of ‘serious cases’, as well as skeletal problems with a ‘slice’ of 30% among children between 2 and 12 years. In one case out of four of the pain and ‘chronic, ie hard’ for more ‘than three months. In the face of these figures presented a survey on the occasion of the campus showed that 42% of pediatricians does not use any of the detection methods available and seven out of ten (69%) think that there is lack of preparation in the management of pain :” The tools to assess pain exist and are very valuable – says Maria Giuliano, referring to the pain of FIMP – you go by history with the system pqrst (Provocation, Quality, Radiation, Severity, time) of the stairs self-assessment that are based on the description of the child or a person outside can give, through colors, ‘facets’ with different expressions, interviews and questionnaires.”

For the methods based on listening to the child are added physiological tests, such as’ increase in heart rate and respiratory rate, pressure, palmar sweating. All these methods together form a thermometer of pain that thanks to the work of the ‘trainers’ should become part of the arsenal of all pediatricians: “There are many obstacles – said Mele – from a barrier cultural type which did not allow the overcoming of the legacies of the 80s that most of the communities’ scientific thought that the child did not feel pain.”