P0068 / #1176: PAIN ASSESSMENT IN PEDIATRIC AND NEONATAL PATIENTS IN INTENSIVE CARE UNIT AND PAIN RELIEF ALTERNATIVES USED BY NURSES: INTEGRATIVE REVIEW

Abstract

Aims & Objectives: To present pain assessment resources in pediatric and neonatal patients in the Intensive Care Unit (UCI) by nurses and alternatives for pain relief. Methods: Study conducted through a bibliographic search of articles written in Portuguese, English and Spanish, published between 2015 and 2020, in the Nursing Database (BDENF), Latin American and Caribbean Literature in Health Sciences (LILACS), MEDLINE and U.S. National Library of Medicine (PubMed) with the descriptors: Pain Management; Pediatrics; Neonatal; Intensive Care Unit; Pain measurement. Ethical Aspects: It does not apply because it is a literature review. Results: Of 524 articles identified, 11 were included in review, nine were national and two international, eight of which include neonatal patients and three pediatric. The bibliographic analysis allowed the identification of pain assessment resources as physiological factors: changes in vital signs, heart rate, blood pressure, oxygen saturation, respiratory rate and emotional factors: crying, facial expression, atypical movements and impaired sleep quality. For pain relief, non-pharmacological alternatives were mentioned and the most used in 30% of cases were mentioned: mass aging, providing comfortable environment, making use of soother in neonates and therapeutic toys. Pharmacological alternatives in algic episodes, appear in 3% of cases. Conclusions: Evidence shows that nurses present difficulty in pain management in pediatric and neonatal patients in UCIs. We can see the unpreparedness due to the significant challenge of access to specialized courses, which once taught, will provide the basis for formalization and standardization in pain identification and relief techniques.