World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses
World Health Organization Guidelines on the Pharmacological Treatment of Persisting Pain in Children with Medical Illnesses

Author: World Health Organization

Publisher:

Published: 2012

Total Pages: 166

ISBN-13: 9789241548120

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These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.

Pain Management and the Opioid Epidemic
Pain Management and the Opioid Epidemic

Author: National Academies of Sciences, Engineering, and Medicine

Publisher: National Academies Press

Published: 2017-09-28

Total Pages: 483

ISBN-13: 0309459575

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Drug overdose, driven largely by overdose related to the use of opioids, is now the leading cause of unintentional injury death in the United States. The ongoing opioid crisis lies at the intersection of two public health challenges: reducing the burden of suffering from pain and containing the rising toll of the harms that can arise from the use of opioid medications. Chronic pain and opioid use disorder both represent complex human conditions affecting millions of Americans and causing untold disability and loss of function. In the context of the growing opioid problem, the U.S. Food and Drug Administration (FDA) launched an Opioids Action Plan in early 2016. As part of this plan, the FDA asked the National Academies of Sciences, Engineering, and Medicine to convene a committee to update the state of the science on pain research, care, and education and to identify actions the FDA and others can take to respond to the opioid epidemic, with a particular focus on informing FDA's development of a formal method for incorporating individual and societal considerations into its risk-benefit framework for opioid approval and monitoring.

Pediatric Palliative Care
Pediatric Palliative Care

Author: Betty Ferrell

Publisher:

Published: 2016

Total Pages: 161

ISBN-13: 0190244186

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Pediatric palliative care is a field of significant growth as health care systems recognize the benefits of palliative care in areas such as neonatal intensive care, pediatric ICU, and chronic pediatric illnesses. Pediatric Palliative Care, the fourth volume in the HPNA Palliative Nursing Manuals series, highlights key issues related to the field. Chapters address pediatric hospice, symptom management, pediatric pain, the neonatal intensive care unit, transitioning goals of care between the emergency department and intensive care unit, and grief and bereavement in pediatric palliative care. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice. Plentiful tables and patient teaching points make these volumes useful resources for nurses.

Pain in Children
Pain in Children

Author: Patricia A. McGrath

Publisher: Scholastic

Published: 1990

Total Pages: 496

ISBN-13: 9780898623901

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Interest in the assessment and management of children's pain has increased dramatically over the past few years. Recent advances in the understanding of the plasticity and complexity of pain processing and new information about internal pain-inhibitory systems have revolutionized traditional approaches to pain control. It is now known that children's pain is plastic--not simply and directly related to the nature and extent of tissue damage--and that there are many ways to alleviate their suffering. Using a multifaceted approach that encompasses the neural and psychological factors that mediate pain, and featuring specific examples drawn from the Pain Clinic at The Children's Hospital of Western Ontario, this uniquely practical volume presents the most up-to-date information on how to assess and control acute, recurrent, and chronic pain in children. In recognition of the multidimensional nature of children's pain experiences, the book opens with a discussion of what pain is to children, the types of pain they experience, and the developmental, familial, situational, and emotional factors that modify children's perceptions and behaviors. Physiological, behavioral and psychological pain measures and direct measures for evaluating pain in infants and children are described and evaluated. The complexity of the nociceptive system, which enables practitioners to alter children's pain perceptions, is covered in detail, and information is provided about how to teach children and parents about pain modulation. In the chapters that cover treatment, the primary pharmacological and non-pharmacological interventions for reducing pain are reviewed along with practical suggestions on how to select and use cognitive-behavioral techniques in ambulatory clinics and hospital settings. Separate chapters offer separate, in-depth discussions on the management of acute pain, recurrent pain syndromes (such as headaches, abdominal and limb pains), and chronic pain. Drawn from the author's experience as director of a multidisciplinary pain clinic for children, this straightforward volume, with its numerous case illustrations and research results, will be an invaluable resource to a all health professionals, particularly those in psychology, behavioral medicine, nursing and pediatrics. It also serves as an excellent text for students in these disciplines.

Pain in Infants, Children, and Adolescents
Pain in Infants, Children, and Adolescents

Author: Neil L. Schechter

Publisher: Lippincott Williams & Wilkins

Published: 2003

Total Pages: 924

ISBN-13: 9780781726443

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This Second Edition is a significant revision of the leading text and clinical reference on pediatric pain. Written by an international group of experts from all relevant disciplines, this new edition is a vital reference for all pain practitioners, and for nurses, psychologists, PTs, anesthesiologists, and pediatricians dealing with acute and chronic pediatric pain. This edition includes new and expanded information on NSAIDs, opioids, and regional anesthesia. New chapters cover sedation, pain in the ICU, multidisciplinary pain services, palliative care, and the long-term consequences of pain. User-friendly new features include many more illustrations of techniques.

Caring for Children Who Have Severe Neurological Impairment
Caring for Children Who Have Severe Neurological Impairment

Author: Julie M. Hauer

Publisher: JHU Press

Published: 2013-08-01

Total Pages: 479

ISBN-13: 1421409380

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An expert physician empowers parents to make informed decisions about their child’s care. Global impairment of the central nervous system, whether stable or progressive, is often called severe neurological impairment (SNI). A child who has SNI will be cared for both by specialist clinicians and by parents at home. A parent is a child’s best expert and advocate, and many parents become highly skilled in managing their child's care. This guide provides information to help parents increase their knowledge and improve their caregiving skills. In Caring for Children Who Have Severe Neurological Impairment, Dr. Julie M. Hauer advocates shared decision making between family caregivers and healthcare providers. She details aspects of medical care such as pain, sleep, feeding, and respiratory problems that will be particularly useful to parents. Tables and key points summarize discussions for clear, quick reference, while case studies and stories illustrate how different families approach decision making, communication, care plans, and informed consent. Parents and other caregivers will find this book to be indispensable—as will bioethicists and clinicians in pediatrics, neurology, physical and rehabilitative medicine, palliative care, and others who care for children with neurological and neuromuscular disorders. Dr. Hauer offers hope and practical coping strategies in equal measure.

Pediatric Pain
Pediatric Pain

Author: Christine T. Chambers

Publisher: Humana Press

Published: 2014-04-28

Total Pages: 0

ISBN-13: 9781603270502

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This is the sixth in the series of edited books from the International Forums of Pediatric Pain (the first four volumes were edited by Dr. Patrick McGrath and Dr. Finley, Dr. Chambers joined as an editor for the last volume). In keeping with the previous publications, the book will focus on a particular theme in pediatric pain; in this case that is the integration of cutting edge science and clinical practice on various themes in pediatric pain through the presentation and discussion of a series of clinical cases. Description of Pediatric Pain: A Clinical Casebook: 10 chapters, 300 pages, 10 figures, 10 tables. Each chapter will consist of an introduction to the chapter theme and the description of up to 3 case presentations. Following each case presentation there will be a description of the relevant clinical decision-making and a summary of what can be learned from the case. Each chapter will close with a general discussion of the theme and an integration of research knowledge with practice.

Pain in Children
Pain in Children

Author: Gary A. Walco

Publisher: Springer Science & Business Media

Published: 2008-09-11

Total Pages: 273

ISBN-13: 1597454761

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Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children’s pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children’s adaptive functioning as well as subjective discomfort. This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

Paediatric Palliative Medicine
Paediatric Palliative Medicine

Author: Richard Hain

Publisher: Oxford University Press

Published: 2016

Total Pages: 349

ISBN-13: 0198745451

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A concise and practical guide to caring for children with life-limiting conditions, 'Paediatric Palliative Medicine' covers the common symptoms and challenging issues healthcare professionals are likely to encounter, and includes a detailed drug formulary for quick reference.