Next Article in Journal
Use of Empirical Mode Decomposition in ERP Analysis to Classify Familial Risk and Diagnostic Outcomes for Autism Spectrum Disorder
Next Article in Special Issue
Probable Pain on the Pain Assessment in Impaired Cognition (PAIC15) Instrument: Assessing Sensitivity and Specificity of Cut-Offs against Three Standards
Previous Article in Journal
Efficacy of the Treatment of Developmental Language Disorder: A Systematic Review
Previous Article in Special Issue
Specific Behavioral Responses Rather Than Autonomic Responses Can Indicate and Quantify Acute Pain among Individuals with Intellectual and Developmental Disabilities
Article

Paediatricians’ Views on Pain in Children with Profound Intellectual and Multiple Disabilities

1
Faculty of Biology and Medicine, University of Lausanne, 1011 Lausanne, Switzerland
2
Paediatric Neurology and Neurorehabilitation Unit, Lausanne University Hospital and University of Lausanne, 1011 Lausanne, Switzerland
*
Author to whom correspondence should be addressed.
Academic Editors: Joukje M. Oosterman and Miriam Kunz
Brain Sci. 2021, 11(3), 408; https://doi.org/10.3390/brainsci11030408
Received: 11 February 2021 / Revised: 11 March 2021 / Accepted: 23 March 2021 / Published: 23 March 2021
(This article belongs to the Special Issue Pain Assessment in Impaired Cognition)
Pain is a frequent issue in children with profound intellectual and multiple disabilities (PIMD). Its identification and treatment can prove highly challenging for primary care physicians, mainly because of the children’s limited communication abilities. We used an online survey to explore paediatricians’ views regarding the experience and management of pain in children with PIMD and invited 480 professionals working in the canton of Vaud, Switzerland, to take part. We received 121 responses (participation rate 25.5%). A large majority of respondents provided care to children with PIMD. All paediatricians considered that these children feel pain at least as much as typically developing children. However, paediatricians had mixed views on their tolerance to pain. More than 90% held the view that their pain is under-assessed and undertreated. The principal barriers they reported to appropriate management were communication limitations with the child, difficulties in pain assessment, lack of knowledge about children with disabilities and lack of experience. Paediatricians have complex opinions regarding how children with PIMD experience pain and how to manage this problem. Professional education and training on the specificities of children with PIMD, including how to address their pain, seem necessary to foster paediatricians’ ability and confidence in approaching this complex issue. View Full-Text
Keywords: child; disability; pain; paediatrician; profound intellectual and multiple disabilities; survey child; disability; pain; paediatrician; profound intellectual and multiple disabilities; survey
Show Figures

Figure 1

MDPI and ACS Style

Petigas, L.; Newman, C.J. Paediatricians’ Views on Pain in Children with Profound Intellectual and Multiple Disabilities. Brain Sci. 2021, 11, 408. https://doi.org/10.3390/brainsci11030408

AMA Style

Petigas L, Newman CJ. Paediatricians’ Views on Pain in Children with Profound Intellectual and Multiple Disabilities. Brain Sciences. 2021; 11(3):408. https://doi.org/10.3390/brainsci11030408

Chicago/Turabian Style

Petigas, Lucie, and Christopher J. Newman 2021. "Paediatricians’ Views on Pain in Children with Profound Intellectual and Multiple Disabilities" Brain Sciences 11, no. 3: 408. https://doi.org/10.3390/brainsci11030408

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop