The Problem of Pain: Acute Pain and Procedures

Acute pain is a common childhood issue, from routine procedures (e.g., vaccinations, venipuncture) to more specialized medical procedures and treatments (e.g., lumbar punctures, surgery). This chapter provides an overview of best practices in acute pain management for pediatric psychology consultations, including evidence-based approaches to effective assessment and management. The chapter outlines developmental considerations to guide decision-making for pain assessment and management. Practical issues pediatric psychologists need to address when working with pediatric patients are discussed, including family, medical, and treatment-related factors. Key considerations for acute pain assessment and management in special populations are discussed, including children with intellectual disabilities, developmental disorders, and needle phobias. Recommendations for post-procedure pain management and support are discussed. The pediatric psychologist plays a critical role in acute pain management and should be armed with the evidence and expertise summarized in this chapter in order to ensure children with pain and their families receive the pain management they deserve.