2025, Number 1
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Bol Clin Hosp Infant Edo Son 2025; 42 (1)
Bioethical Aspects of Pain Management in Childhood
Chuck SJA, Reyes GU
Language: Spanish
References: 14
Page: 24-26
PDF size: 184.99 Kb.
ABSTRACT
Pain in childhood presents both clinical and ethical
challenges of great significance. Despite scientific
advances, misconceptions persist—such as the belief
that newborns do not feel pain or that minor injuries
cause only mild discomfort. These false assumptions
have contributed to inadequate pain management in
pediatric care. This article reviews the clinical aspects
of pain in children, including its detection through validated
behavioral scales and the inherent complexities
of assessment. It also examines the bioethical principles
that should guide its management: beneficence,
non-maleficence, justice, autonomy, proportionality,
prevention, and non-abandonment. Each principle is
contextualized within pediatric care, considering the
child’s vulnerability and the moral responsibility of
healthcare professionals. The paper emphasizes the
importance of integrating bioethics into everyday clinical
practice, promoting informed decision-making,
timely treatment, and respect for the dignity of pediatric
patients. It concludes with a call for pediatricians to
engage in ethical training and multidisciplinary collaboration
to ensure adequate pain relief in children. Ethical
pain management not only improves the child’s quality
of life but also strengthens the physician-patient relationship
and fosters a more humanistic approach to
medicine.
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