The interpretation of "primum non nocere" or first do no harm does not translate into "do as little as possible." The practice of subtherapeutic dosing and erratic administration of analgesics predisposes the child to a prolonged pain experience. However, misconceptions and erroneous beliefs persist in the medical community despite advances in pediatric pain research. Walco has stated that assessment and treatment of pain in children are important parts of pediatric practice, and failure to provide adequate control of pain amounts to substandard and unethical medical practice (Walco 1994). Thus, the task of changing the culture of pain management for children is the charge of all healthcare professionals dedicated to the care of children.
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