Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa

Despite recent advances in our understanding of paediatric pain and its management, pain continues to be undertreated globally, particularly in children and in low income countries. This article describes the development of a paediatric analgesia and sedation protocol, tailored to the specific setti...

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Main Authors: Lisa M. Puchalski Ritchie, Stephen R. C. Howie, Pamela Collier Njai
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:International Journal of Pediatrics
Online Access:http://dx.doi.org/10.1155/2010/975313
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author Lisa M. Puchalski Ritchie
Stephen R. C. Howie
Pamela Collier Njai
author_facet Lisa M. Puchalski Ritchie
Stephen R. C. Howie
Pamela Collier Njai
author_sort Lisa M. Puchalski Ritchie
collection DOAJ
description Despite recent advances in our understanding of paediatric pain and its management, pain continues to be undertreated globally, particularly in children and in low income countries. This article describes the development of a paediatric analgesia and sedation protocol, tailored to the specific setting of the Medical Research Council (MRC) paediatric ward in the Gambia, West Africa. An iterative process was used throughout development, with inputs from the medical literature, local providers, and pain experts, incorporated to ensure a safe, effective, and locally appropriate protocol. We demonstrate that evidence-based published guidelines, can and should be adapted to allow for optimal pain management given the resources and capabilities of specific health care settings. It is hoped that the process and protocol described here, will not only help to improve care on the MRC ward, but serve as an example to others working toward improving pain management in similar health care settings.
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institution Kabale University
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series International Journal of Pediatrics
spelling doaj-art-694c4ec2fc5a47b8a37c23918a6c5d632025-02-03T05:47:18ZengWileyInternational Journal of Pediatrics1687-97401687-97592010-01-01201010.1155/2010/975313975313Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West AfricaLisa M. Puchalski Ritchie0Stephen R. C. Howie1Pamela Collier Njai2University of Toronto, University Health Network, Toronto, ON, M5G 2C4, CanadaBacterial Diseases Programme, Medical Research Council Laboratories, Fajara, P.O. box 273, Banjul, GambiaClinical Services Department, Medical Research Council Laboratories, Fajara, P.O. box 273, Banjul, GambiaDespite recent advances in our understanding of paediatric pain and its management, pain continues to be undertreated globally, particularly in children and in low income countries. This article describes the development of a paediatric analgesia and sedation protocol, tailored to the specific setting of the Medical Research Council (MRC) paediatric ward in the Gambia, West Africa. An iterative process was used throughout development, with inputs from the medical literature, local providers, and pain experts, incorporated to ensure a safe, effective, and locally appropriate protocol. We demonstrate that evidence-based published guidelines, can and should be adapted to allow for optimal pain management given the resources and capabilities of specific health care settings. It is hoped that the process and protocol described here, will not only help to improve care on the MRC ward, but serve as an example to others working toward improving pain management in similar health care settings.http://dx.doi.org/10.1155/2010/975313
spellingShingle Lisa M. Puchalski Ritchie
Stephen R. C. Howie
Pamela Collier Njai
Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
International Journal of Pediatrics
title Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
title_full Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
title_fullStr Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
title_full_unstemmed Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
title_short Development of a Pain Management Protocol for a Paediatric Ward in the Gambia, West Africa
title_sort development of a pain management protocol for a paediatric ward in the gambia west africa
url http://dx.doi.org/10.1155/2010/975313
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