Pain During Molestick Procedure: A Case Study

Pediatric patients often experience pain during needlestick procedures which can lead to detrimental effects on the child. It is stated that “not only is the painful procedure often immediately traumatic but untreated procedural pain can also have long-term negative effects on quality of life, stress hormones, neurobiologic development, coping, pain sensitivity, and subsequently future health care behaviors” (Jeffs et al.,2011, p.208). The purpose of this evidence based paper is to identify the pediatric patients at risk for experiencing pain during needlestick procedures and to implement interventions to reduce the pain experienced. A review of the literature will be completed to determine the most appropriate tool to implement during these procedures to improve the quality of care the individual receives. The setting in which we

This model involves eight elements: input, output, technology, structure, processes, purpose, behavior, and culture. These eight elements continuously interact in an ever-changing environment such as nursing. We will focus solely on the structure and technology portions of the model. This will take into account the identification of the children at risk for pain and the implementation of interventions to reduce pain. The interventions will be the knowledge and physical technologies. An example of knowledge technologies would be the “nurses’ knowledge of pain and pain management and their perceived accountability for pain management” (Alley, 2001, p.868). The physical technologies would be the actual intervention such as distraction. The structure element of the model is the recognition of those children at risk by knowledge of the healthcare organizations pain management policies. This framework was first implemented in Alley’s “The Influence of an Organizational Pain Management Policy on Nurses Pain Management Practices” (Alley,