DOI? - Avaliação de dor em cenário de terapia intensiva neonatal e pediátrica: Desenvolvimento de aplicativo para dispositivo móvel Rio de Janeiro 2021

Abstract

Introduction: In the process of analysis of the phenomenon pain, there are several instruments available in the literature with the objective of quantifying and optimizing this assessment. In pediatrics, pain assessment is a complex process, because there are many variables to be considered, mainly due to the heterogeneity regarding the development of the public that composes this population. In intensive care, an accurate and correct assessment is necessary, because neglecting pain in this setting can have a direct impact on the patient's prognosis. Objective: To build an application for mobile devices that allows the health team to apply pain assessment scales in various pediatric age groups. Methods: A narrative review of the literature was conducted to capture pain assessment scales in the neonatal and pediatric intensive care setting. In this phase of the process, it was also captured criteria established in the literature directed to evaluated patients with the objective to define the scales to be applied. From this capture of these scales, a mobile application (app) was developed, which hosts these analysis instruments in a single program, which directs the user to the scale most consistent with the profile. Results: The app has a selection of initial criteria, being: age; acute pain, chronic pain, or postoperative pain; sedation and mechanical ventilation, neurological impairment, which define the type of scale to be chosen. After the selection of the profile data, the user will be presented with the selected scale according to the chosen criteria, directing the user to use the scale that best fits the chosen profile. In this phase, it will be possible to evaluate the patient's pain level, applying the scale presented by the app. During the evaluation, the professional will answer the pain instrument, which will present the determined score at the end of the process. As an option, this user can consult the World Health Organization's analgesic pain ladder to evaluate the conduct to be provided in order to minimize the pain. Conclusion: The insertion of digital technology in the health care environment may be an opportunity to optimize the process of pain assessment in pediatrics and neonatology, thus seeking a better quality of care for these patients.