Rae's Rules...Second Edition
Rae’s Rules for the Diagnosis and Treatment of Pain in Children
1. Children have pain and their suffering can be safely treated.
2. Pain is a private event. It is whatever the child says it is.
3. Sometimes a child will not reveal pain for fear of painful treatment.
4. Untreated pain in children leads to depression.
5. If it looks painful, it probably is.
6. There are many pain scales for pediatric pain evaluation, but the most accurate method for determining the clinical condition of a child is the seasoned clinician making a judgment based on experience. This is usually a nurse.
7. There are different types of pain. They don’t all respond to narcotics.
8. The longer the pain lasts and is not treated, the more likely that the acute pain will become chronic.
9.The best way to treat acute pain is to prevent it.
10. The best way to treat chronic pain is find and treat the injury.
11. The best way to treat cancer pain is to recognize that it is complex and to discuss it with parents and care givers before it occurs.
And…
12. Complex pain problems can usually be solved with combinations of small doses of analgesics that work on different receptors or at different anatomical regions of the nervous system.
1. Children have pain and their suffering can be safely treated.
2. Pain is a private event. It is whatever the child says it is.
3. Sometimes a child will not reveal pain for fear of painful treatment.
4. Untreated pain in children leads to depression.
5. If it looks painful, it probably is.
6. There are many pain scales for pediatric pain evaluation, but the most accurate method for determining the clinical condition of a child is the seasoned clinician making a judgment based on experience. This is usually a nurse.
7. There are different types of pain. They don’t all respond to narcotics.
8. The longer the pain lasts and is not treated, the more likely that the acute pain will become chronic.
9.The best way to treat acute pain is to prevent it.
10. The best way to treat chronic pain is find and treat the injury.
11. The best way to treat cancer pain is to recognize that it is complex and to discuss it with parents and care givers before it occurs.
And…
12. Complex pain problems can usually be solved with combinations of small doses of analgesics that work on different receptors or at different anatomical regions of the nervous system.
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