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Pain Assessment and Management
G u i d e l i n e

f o r

Marlene Walden, PhD RNC NNP CCNS
Sharyn Gibbins, PhD RN NNP

P r a c t i c e ,


n d

E d i t i o n

Pain Assessment and Management
Guideline for Practice, 2nd Edition
This guideline is an outline of the pain assessment and management practices that currently are accepted and documented by experts in the field of neonatal care. In addition, it summarizes and recommends pain assessment and management practices based on the best evidence for the nursing care of infants. This guideline does not preclude the use of manufacturers’ recommendations or other acceptable methods of assessing and managing pain in infants. The use of other practices known to improve the quality of neonatal care is encouraged and not restricted by this document.
The National Association of Neonatal Nurses (NANN) developed this guideline in response to members’ requests. Broad in scope, it can provide a foundation for specific nursing protocols, policies, and procedures developed by individual institutions.

Marlene Walden, PhD RNC NNP CCNS
Sharyn Gibbins, PhD RN NNP

Daniel Batton, MD, American Academy of Pediatrics
Sandra Sundquist Beauman, MSN RNC
Jim Couto, MA, American Academy of Pediatrics
Mary Ann Gibbons, BSN RN
Melinda Porter, RNC CNS NNP
Ann Stark, MD FAAP, Chair of AAP Committee on
Fetus and Newborn
Liaison to AAP Committee on Fetus and Newborn

Development and Acknowledgments
This guideline was written by two NANN members with established expertise in pain assessment and management.
It was modified based on thoughtful comments and editing suggestions of volunteer reviewers.
NANN especially thanks Abbott Nutrition and Children’s
Medical Ventures for providing educational grants for the publication of this guideline.…...

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