Page 24 - Oct Nov 2017
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Teaching Children to Deal with Pain

        surgery, whether that sur-           have now realized that the  tion for years. But now
        gery was a circumcision              child is the ultimate au-            people can think of pain
        or for something more                thority on the pain he or            as a genetically regulated

        life-threatening. We, as a           she is feeling.                      problem.”
        society and as research-                                                                                        P

        ers, have come a long                In July of this year, a re-          Causes of Pain                        O
        way since then, but only             search team at John Hop-             Genes are not the only                L
        recently. In 1985 in Wash- kins University and the                        causes of how intense

        ington D.C., baby Jeffrey            National Institute on Drug  pains could be. Many                           I
                                                                                                                        C
        Lawson was born prema-               Abuse (NIDA) reported,               factors influence the way             E

        turely and needed heart              in the Proceedings of the            we feel pain. Child psy-
        surgery. Doctors gave the            National Academy of Sci-             chologist Leona Kuttner,              B
        baby the proper anesthetic  ences, that they had found  Ph.D., in her book A Child

        analgesia, but he received  a single gene that could                      in Pain: How to Help,                 R
                                                                                                                        U
        no post-operation pain               explain why injuries that            What to Do (Hartley and               T

        medications. Baby Jeffrey  spell mere discomfort for                      Marks), includes these                A
        died shortly after surgery,  one person could be mean  factors:                                                 L
        and during this landmark             agony for another. This              ·*sex

        case, it was proved he               gene, which controls the             · *temperament                        I
                                                                                                                        T
        died from the intensity of           mu opiate receptor (a mol- · *cultural norms                               Y

        the pain.                            ecule that helps the body’s  · *parent’s anxiety level
                                             natural opiates enter                · *child’s anxiety level
        This case caused the In-             cells), also provides clues  and perceptions

        ternational Association for  as to why some people                        · *extent of physical in-
        the Study of Pain to form            get more relief than other           jury

        the Special Interest Group  from opium-based pain-                        · *amount of stress
        on Pain in Childhood in              killers.                             · *type of analgesia (pain
        1986. Because of their                                                    reliever) used

        work, and the research of            Dr. George Uhl, of NIDA,  · *developmental level
        other similar groups, we             said, “People have long              · *previous painful experi-

        now know that children               been skeptical that pain             ences
        of all ages do indeed feel           has a genetic basis. Many
        pain and this pain is often  assume the way people                        These factors combine to

        more intense and fright-             respond is voluntary. ‘Just  determine how painful
        ening than the pain that             put up with it’ has been             the situation is and how

        adults experience. We also  a common recommenda-                          the child will respond. If

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