Background
Burn injuries result in significant physical pain and psychological trauma that extend beyond the initial insult. In low resource settings, paraffin impregnated gauzes often adhere to wounds, causing procedural pain, which is commonly reported during the removal of dry dressings.

Objectives
This review synthesizes strategies implemented in high resource settings, analyses barriers to their adoption in resource limited environments, and proposes pragmatic solutions for low resource settings.

Data Sources
This review draws upon literature from PubMed, Google Scholar, and African Journals Online (AJOL).

Study Selection
Studies were selected for their relevance to dressing adherence, pain, and resource constraints. Ninety nine articles were collected and screened using Zotero and Rayyan.

Data Extraction
Data were tabulated to capture key characteristics including titles, settings, dressing types, pain adherence outcomes, frequency of dressing changes, key insights, possible adaptations for low and middle income countries, populations, and study types.

Data Synthesis
Data were synthesized narratively within the clinical context of Kenyatta National Hospital in Kenya. Findings were categorized by dressing type and availability.

Conclusions
In high resource settings, pain management strategies include both pharmacologic and non pharmacologic interventions. Some approaches involve reducing the frequency of dressing changes and employing truly non adherent dressings.

Adaptable solutions include cost effective non adhesive wound dressings, pre soaking dressings before removal, analgesia before dressing changes, distraction therapies, aromatherapy, longer wear dressings, and staff training in pain minimizing techniques.

While the causes of burns vary among patients, evidence indicates that pain during hospital dressing procedures is largely preventable.