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Bianca Devsam, MasterAdvNursPrac, GradCertNICU, RN, RM

  • Speaker Type: Pain Management in the NICU Lecture Pack 2019
  • Country: Australia

Bianca completed her undergraduate nursing and midwifery training at the University of Queensland. She has been neonatal nursing for the last six years, and in that time completed her Postgraduate Certificate in Nursing Practice (Neonatal Intensive Care) and her Masters of Advanced Nursing Practice (Minor Thesis) at the University of Melbourne.

In 2016, Bianca participated in a Nursing Research program entitled ‘Building Evidence with Support to Transform (BEST) Practice at the Royal Children’s Hospital (RCH) in Melbourne, Victoria Australia, which were the beginnings of her nursing research journey. She investigated nursing assessment of pain in neonates, and instigated a hospital-wide change in the pain assessment tool utilised in neonates. Since then she has evaluated the clinical utility and inter-rater reliability of the modified Pain Assessment Tool (mPAT) that is now used at the RCH. She is currently a Nursing Research Clinical Nurse Consultant at the RCH.

CE Library Presentation(s) Available Online:
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Note: Currently only available through a bundled series of lectures
Pain Assessment in Ventilated, Sedated, and Muscle-Relaxed Neonates
Neonates admitted to the Neonatal Intensive Care Unit (NICU) undergo numerous painful procedures each day, with fewer than one-third receiving analgesia. This is alarming as neonates who are critically ill and in pain are susceptible to developing life-threatening complications, since they cannot maintain homeostasis in a state of stress. Additionally, the cumulative effects of these painful experiences, has significant negative consequences to the neurodevelopment of these vulnerable neonates. Pain assessment is fundamental to effective pain management although there is currently no universally accepted scale for pain assessment in neonates, and more evidence is required to determine the reliability and validity of existing pain assessment tools. Additionally, health clinicians do not know if the physiological and behavioural indicators of pain they observe are specific to pain, or a manifestation of the neonates medical condition, disease process, agitation, distress, fear, stress or even sadness. This issue is compounded when the expressive capacity of critically ill neonates is compromised by the administration of heavy sedation and muscle-relaxants. This presentation explores some of the complexities of pain assessment in neonates followed by practical advice for the health clinician, including a look at the modified Pain Assessment Tool (mPAT) and how it can help improve neonatal pain assessment in the clinical setting.
Presentations: 5  |  Hours / CE Credits: 5  |  Viewing Time: 4 Weeks
Hours / CE Credits: 1 (details)  |  Categories: Pain Management in the NICU