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Child in Post-operative Pain? You're on Your Own
Filed under: Health & Safety: Babies, Medical Conditions, In The News, Research Reveals: Babies, Health & Safety: Toddlers & Preschoolers, Research Reveals: Toddlers & Preschoolers, Health & Safety: Big Kids, Research Reveals: Big Kids, Research Reveals: Tweens, Health & Safety: Teens, Research Reveals: Teens
Many parents are reportedly left on their own to deal with children in pain following surgery. Credit: Getty Images
Your child is in pain following surgery? That's your problem.
USA Today reports most children are sent home the same day they undergo surgery, and pain management is routinely left in the hands of their parents with a prescription for pills.
Pediatrician Zeev Kain, chairman of anesthesiology at the University of California-Irvine, tells the newspaper that about 84 percent of pediatric surgeries are performed as outpatient procedures.
Doctors and nurses need to do more, he says, than scrawl out prescriptions for pain meds. Most parents are not educated in the dispensing of medication and some parents, afraid of side effects, may withhold painkillers.
Researchers looked at 261 children for a study published in the October 2009 issue of the journal Pediatrics, and 24 percent of parents gave their kids either no medication or a single dose. This was in spite of the fact that 86 percent of parents reported that their children were in "significant pain" the first day after surgery.
"If 86 percent of parents think their child is in pain, then 86 percent should have given the child pain medication," Kain tells USA Today. "If they think their child is in pain but don't give them anything, that is where we have failed."
Physicians typically tell parents to give pain relievers every four hours as needed.
Parents should give painkillers continuously, rather than wait for children to complain of severe pain, psychologist Michelle Fortier, co-author of the Pediatrics article, tells USA Today.
Many people falsely believe their children will develop addictions to prescription pain meds, the paper reports, but that's not true. Another myth is that children will cry or complain if they are truly in pain. Kain tells the paper that's not true, either -- many children may simply become withdrawn.
Kain recommends filling prescriptions as soon as kids are discharged from the hospital. That way, the medication is available if they wake up in pain in the middle of the night. Parents also can request that children try a dose of painkillers before leaving the hospital, says Lisa Humphrey, medical director of pediatric palliative care at Rainbow Babies & Children's Hospital.
"If their child is not acting like themselves, then we should look at pain management so children can go back to their job at hand, which is to have fun and explore," she says.
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ReaderComments (Page 1 of 2)
7-15-2010 @ 2:23PM
lively said...Oh, yeah, so when my doctor precribes (against my SPECIFIC instructions and ALLERGY info on my son) codiene for pain relief (which he is severly allergic to, causing seizures), I should go ahead and dose him with it.
Thank god for those of us parents who have some COMMON SENSE. After I received the scrip, I handed it directly back to the doc, saying..."my son is allergic to codiene", to which he responded "Oh, I'm sure he isn't he's only 17 months old". He refused to write a different scrip. I contacted my grandmother, who was a nurse, and got her recommendations for pediatric pain meds, and used plain old over the counter meds. Yes, did not wait for my son to say he was in pain, just monitored dosage at appropriate times.
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7-15-2010 @ 2:50PM
kuteal said...If you have a physician prescribing a medication you have indicated as an allergy (nausea and vomiting is not an allergy) then you need to find a new physician.
7-15-2010 @ 5:20PM
Nicole said...No one said you should give your child medicine he/she is allergic to. They said parents are refusing to give their kids painkillers because they fear addiction. Not at all the same situation. In fact, the article was specifically saying that doctors are not paying enough attention to pain management in children, which could be related to your physician not paying enough attention to your child's medication allergy. No need to get all defensive about your "common sense."
7-15-2010 @ 5:28PM
Julie said...No only an uncaring simpleton would do that, a truly caring person would explain to the doctor the child's reaction and request something else, then have them give him a dose while still in the hospital. As a parent it is up to you to care for your child, meaning protecting that child from things such as an allergic reaction. You see the doctor prescribing the medication might not be your standard family doctor or one that is treating everything for that child, what he knows is was is standard forms of care for the situation at hand. If you do not have enough sense to be the voice for your child, maybe you should have considered waiting to have children.
7-15-2010 @ 6:34PM
JimClass said...I think parents are morally obligated to "Slap a Doc" when they commit this type of malpractice - namely refusing to listen to the patient or the parents of the patient. Maybe there is another way to get the Doctor's attention, any ideas other than physical violence?
7-15-2010 @ 6:33PM
JustSayin said...JULIE are you being intentionally obtuse?
lively says:
"doctor precribes (against my SPECIFIC instructions and ALLERGY info"
and
I handed it directly back to the doc, saying..."my son is allergic to codiene", to which he responded "Oh, I'm sure he isn't he's only 17 months old". He refused to write a different scrip.
I guess some doctors and some women named JULIE just refuse to listen to Lively. That is sad, maybe you shouldn't comment on a person having and raising kids until you can pay better attention to what they say.
7-15-2010 @ 6:31PM
Gail said...Your situation has nothing to do with the point of the article. What was your point again?
7-15-2010 @ 7:28PM
dugandob said...Lively: They are not talking about prescribing a child a pain med that they are allergic to. Did you read the whole article? Or couldn't you wait to type in your ignorant comment. The article said that if you were afraid that your child might have a bad side effect to have them give the first dose at the hospital.
Also if you are a GOOD parent you should know what your child is allergic to. So you should take all precautions when talking to your Dr. and Pharmacist to make sure that medication isn't prescribed.
I am a nurse and I can tell you that if you child has had surgery the Dr. gives your child medication because he/she knows that your child will be in pain. Most of the meds are to be given every 4 hours. You should not wait until your child tells you that he/she hurts. It takes about an hour for meds to enter into your child's blood stream. So that's another hour of pain that your child will be in.
Especially the first day after surgery you should give your child pain meds every 4 hours. You know your child best, and the second day you might give the meds 4 1/2 hours. Each surgery is different as is every child is different. Everyone has their own pain tolerance.
In this day and age their is no reason that a child should suffer from pain after surgery. No respectable Dr. will over prescribe a pain med for a child if he/she doesn't think they will need it.
Also I doubt that your 10 month old could express to you how much pain he was in.
Next time you have surgery I hope they don't give you any pain meds and you have to use Motrin.
7-15-2010 @ 6:15PM
windygirl said...Sure, blame the parents. When my 7-year-old child had a tonsilectomy, he took one dose of his pain medication and absolutely refused to take any more. When I tasted a little bit of the liquid Hyrdocodone, I understood why. This stuff was so nasty tasting and left such a horrible, long-lasting aftertaste that I would have rather suffered with pain, too!! Augh! The thought of it still makes me cringe...
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7-15-2010 @ 3:10PM
XxRosexOfxSharyn said...I don't blame them for not wanting to give them that crap. These companies that make all these "miracle medicines" put it out there so people will buy it all up. A few months later there's a big recall or some big lawsuit because it makes those people that thought it was safe sick. All the "possible" side affects that are named off on those commercials? They might not be likely, but geez! I've heard one for an arthritis pain reliever and one of the possible side effects was "cancer", gee is that all? I made the mistake of letting them give me a pain med., that didn't even work, when I was in the hospital and one day I woke up in there and felt like I couldn't breathe, it was very scary and it kept getting worse. They took me off that medicine and about the next day I could breathe fine again. I can't "prove" that it was the med., but there was nothing else they could find that would've been making that happen.
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7-15-2010 @ 3:31PM
Laura said...A few years ago, one of my students broke his leg. Although the doctor had prescribed a pain killer for the student, his father sent him to school a day or two after he had broken it with a couple of aspirins wrapped in a kleenex. I have to wonder if the father would want only a couple of aspirin tablets if he had broken his leg?
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7-15-2010 @ 3:57PM
xbouncex said...My daughter went through surgery when she was 10 months old. She went in, the surgery took about 2 hours, they called me back to stay with her until she wakes up, about an hour later, since she wasnt waking up, they decided to actually wake her up, give her some water, and send her home. That quick. The fact she wasn't waking up right out of surgery was alarming to me, since it was "unsual" to quote a nurse. But, they still sent her home right away. I did get her pain killers filled right away, and found out that the pharmasist gets calls all the time on what to do to manage poain since most Doctors DONT prescribe pain meds! (I guess the school of thought is young kids wont remember it) He told me to give it to her every 4 hours, whether she needs it or not, for the first day, a little less the second, and so on. I guess he had gone through that same surgery at a few years older then my daughter and remebers it being the worst pain he had ever felt in his life. It amazes me that doctors DONT give pain meds to kids out of surgery, and it amazes me that they will put a baby under, and send her home with in 15 minutes of waking up! Luckily she was fine and had zero complications. The worst issue was trying to get her to rest! XP
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7-15-2010 @ 7:05PM
Carla Peele said...That amazes me... both of my sons had tonsil surgery and had to stay 24 hours post-op.
They not only wanted them to drink, but to be drinking WELL before they'd even consider letting them go...
7-15-2010 @ 4:04PM
Just Me said...If your Doctor was really so stupid, then absolutely you need to switch Doctors. My daughter had bronchialitus diagnosed as a cold, despite the fact you could actually feel the stuff in her lungs when she breathed. So, when the saline spray didnt work, and she could barely breath from coughing, I took her to an urgent care who tested her and found out she had caught the RSV virus and it turned into bronchialitus. She ended up on breathing treatments for about 2 weeks, and ended up with a new pediatrician.
I think there are some things can can be treated with over the counter meds (which it seems like the childrens versions are getting recalled ALL the time lately! lol), and there are some things that over the counter meds wont really help with.
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7-15-2010 @ 4:22PM
Jessica said...this scares me my baby girl well she's 5 but she's my baby girl regardless may have to get her tonsils out soon, we find out in 2 weeks. I hope nothing bad happens. My brother had night terrors from anesthesia and things like that.
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7-15-2010 @ 7:11PM
Carla Peele said...It's a rough thing, but, the smaller they are, the easier they get over those sort of things. Neither of my boys had nightmares from their surgery, but, it might be that when they woke up, Mommy was in the bed with them already, lying next to them. That goes a long way, I think.
I think they didn't always let the parents be so close back there like they do now, but, I borrowed a laptop and played DVDs while we snuggled in the bed together, while they had to be in the hospital. :)
(Also, Strawberry Quick is GREAT for masking the taste of some liquid pain meds.)
7-16-2010 @ 11:50AM
Ann said...I hope you get this message since I am a day late writing it. My 6 year old just had his tonsil, atnoids, ears and tongue tied fixed. Everything went fine, but I learned some things I want to pass on. First, try and be in bed with him before he wakes up for surgery. He is going to be very upset and disoriented. Second, make sue to give his meds on time. If your child is asleep when it is time for the next round wake him up. If you don't it will be he'll to get him to take it, because his throat will be so swollen and painful. I gave the script pain killer for about a week then went to over the counter after that. Ii have had sleep apnea surgery and I remember how bad it and how long it last.
7-15-2010 @ 5:50PM
Angiebaby said...Kids have surgery and the doctors send them home with a prescription for pain medication for parents to administer per their best judgement. Damn. What else are they supposed to do? The only thing this article suggests out of the ordinary is to give your kids pain medication when they don't need it. Bad pain requires prescription pain medication. Not so bad pain? Sometimes the situation calls for an ice pack and some OTC pain reliever. Sometimes it just boggles my mind how people can get sheer hogwash published as intelligent medical information. Of course, I can't even fathom why so many people believe everything they read, like this fluff piece.
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7-15-2010 @ 5:41PM
lively said...Exactly my point, angie. People need to get some common sense and quit waiting for someone else to tell them where, when how and why to do things.
7-15-2010 @ 5:37PM
Joanna said...How cruel not to give their children pain medication when they need it.
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