Jennifer Humphries – Pain Assessment and Management in the Neonatal Intensive Care Unit

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Exploring the Essential Features of “Jennifer Humphries – Pain Assessment and Management in the Neonatal Intensive Care Unit”

Speaker: Jennifer Humphries, DNP, CRNP, NNP-BC

Duration: 2 Hours

Format: Audio and Video

Copyright: Feb 08, 2024  

Media Type: Digital Seminar

Description

In the heart of every neonatal clinician lies the profound challenge of understanding and alleviating pain in our smallest patients and avoiding short- and long-term adverse sequelae. In this session, Dr. Humphries will guide you through the intricacies of neonatal pain…so that you can recognize even the most subtle cues and empower you to provide relief. Learn the latest evidence about optimal pain management and the importance of interdisciplinary teamwork in delivering comprehensive neonatal pain care.

Speaker

Dr. Humphries is a Board-Certified Neonatal Nurse Practitioner (NNP). She has over 20 years of experience that includes registered nurse in the Burns and Trauma Unit and Regional Neonatal Intensive Care Unit at UAB, SICU at Walker Baptist Medical Center, and Psychiatric Unit at Montclair Baptist. She found her calling in the Neonatal Intensive Care Unit (NICU) and furthered her career as an advanced practice nurse practitioner. She currently works at DCH Northport Medical Center in the NICU. In addition, Dr. Humphries plans to expand her career to include education and leadership.

Dr. Humphries graduated from Bevill State Community College with an Associate degree in Nursing (ADN) in 2001, received her Bachelor of Science in Nursing degree (BSN) from the University of North Alabama in 2011, her Master of Science in Nursing degree (MSN) in the NNP tract at the University of Alabama of Birmingham (UAB) in 2014 and her Doctor of Nursing Practice degree (DNP) and Nursing Education Certification at UAB in 2019.

She was recently awarded the Kim Noland Spirit Award from the Florida Association of Neonatal Nurse Practitioner (FANNP). Additionally, she received two scholarships from FANNP while in graduate school. She published a literature review titled Perinatal Palliative Care in the FANNP newsletter in 2018 and a peer-reviewed article in the Alabama Nurse titled Early Placement of PICC Lines and Early Removal of UVC to Reduce CLABSIs in the NICU in 2019. She holds memberships with ASNA, FANNP, and AAP. In 2018, she served as President Elect of District 2 in the Alabama State Nurses Association (ASNA) and then President of the district in 2019-2021. Dr. Humphries currently serves as the Vice President at the state level for ASNA. Dr. Humphries is chair of the Research and Poster committee for FANNP and recently lectured on a Neonatal Pharmacology in the FANNP 2021 conference.

Speaker Disclosures:
Financial: Dr. Jennifer Humphries has employment relationships with Birmingham Vital Care, the University of Alabama at Birmingham, and Northport Medical Center DCH. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Jennifer Humphries is a member of the Alabama State Nurse Association, the American Nurses Association, and the Florida Association of Neonatal Nurse Practitioners.

Objectives

1. Accurately assess using available scales and tools.  
2. Determine appropriate pharmacological and nonpharmacological interventions to relieve pain in the neonate and document. 
3. Evaluate the effectiveness of pain management regimen during reassessment and document. 
4. Teach parents or caregivers how to assess and manage pain for neonates after discharge home. 

Outline

Primary Principles of Neonatal Pain 

• Regardless of past assumptions, neonates feel pain. 
• Assessment of severity and the effects of analgesia can be measured in the neonate. 
• Neonatal morbidity may be increased by prolonged or severe pain. 

Pain Measurement in Neonates 

• Reliable and validated pain scales. 
• How do we measure pain in a neonates 
• Physiologic measurements (vital signs, clinical signs, serum samples) 
• Behavioral measurements 

Developmental Consequences of Pain 

• Physiologic development 
• Anatomic Development 
• Neurodevelopment 

Pharmacologic Regimens for pain 

• Choosing effective and safe analgesics 
• Drug doses appropriate for age and gestation 
• Known Pharmacokinetics 
• Known Pharmacodynamics 

Non-Pharmacological Treatment for Pain  

• Avoiding or minimizing painful or stressful procedures 
• Swaddling during procedures or stressful events 
• Skin to Skin 
• Nonnutritive sucking 
• Oral Sucrose 

Effectiveness of Pain Management 

• Reassess pain 
• Document effectiveness of pain relief 

Neonatal Withdrawal 

• Neonatal opioid withdrawal syndrome (NOWS) 
• Neonatal abstinence syndrome (NAS) 

Education Component for Providers and Families  

• Written guidelines and protocols for the management of pain in neonates 
• Health care providers have the responsibility to identify, prevent, and manage pain in neonates. 
• Sedation is not a pain relief and could mask the ability to respond to painful stimuli. 

Limitations of the Research and Potential Risks 

• Limited studies on pain management in neonates 
• Barriers related to multiple reasons (fear of use, misconceptions of pain in a neonate, long-term effects of analgesic use, etc. 

Target Audience

• Occupational Therapists
• Occupational Therapy Assistants
• Nurses
• Nursing Assistants
• Restorative Nursing Staff
• Long-Term Care Professionals

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