Reducing pain from heel lances in neonates following education on oral sucrose

International Journal of Clinical Pharmacy
Mark Shen, Gladys El-Chaar

Abstract

Heel lances are common painful procedures performed in the neonatal intensive care unit (NICU). Upon observation, pain relieving methods were not consistently applied during such procedures in our institution. The objective of this three-phase quality improvement project was to improve pain management for heel lance-induced pain in the NICU. This study took place in a 27-bed NICU in a level IV perinatal regional center at a 591 bed university affiliated teaching hospital in New York, United States. Study Phase 1, involving 25 neonates, documented baseline pain management strategies and pain scores, which were measured before, during, and after heel lancing using the Neonatal Pain Agitation and Sedation Scale (N-PASS). In Study Phase 2, nurses and physicians were educated on the use of sucrose and non-pharmacological measures to prevent and manage heel lance-induced pain. Study Phase 3 (Post education evaluation), had the same procedure as Study Phase 1, and involved another host of 25 neonates. Pain scores were compared in groups of neonates in Phase 1 (before education) and Phase 3 (after education) before, during and after heel lancing. Other outcome measures included quantifying the use of sucrose and documenting any adverse...Continue Reading

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Citations

Sep 4, 2015·Global Advances in Health and Medicine : Improving Healthcare Outcomes Worldwide·Elizabeth E HathawaySian Cotton
Oct 18, 2016·The Clinical Journal of Pain·Michelle M GagnonJennifer Stinson

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