PAIN IN CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES

by Oberlander, Tim F., M.D.; Symons, Frank James

• ISBN13: 9781557668691
• ISBN10: 1557668698
• Format: Paperback
• Copyright: 2006-05-01
• Publisher: Brookes Pub

Summary

For clinicians working with patients who have disabilities and may not be able to self-report, recognizing and correctly interpreting expressions of pain can be a challenge. The first to synthesize research about pain in children and adults with a range of developmental disabilities, this landmark book will help ensure that health care professionals are better prepared to assess and manage pain and deliver timely, appropriate health care. Expert researchers and clinicians cover a wide range of topics, including the basic science of pain, quality-of-life concerns, heath care issues, and best practices in pain management for individuals across the life span. Readers will understand: the impact of pain on quality of life, how pain might instigate or intensify challenging behavior, issues and challenges surrounding pharmacological treatment of pain, neurobiological and neuropsychological processes involved in pain, epidemiological research on pain in individuals with disabilities, assessment strategies and technologies, the future of pain management in research, policy, and practice.

Table of Contents

About the Editors	vii
Contributors	ix
Foreword	xi
Ronald G. Barr
Preface	xv
Acknowledgments	xviii
An Introduction to the Problem of Pain in Developmental Disability	1	(6)
Tim F. Oberlander
Frank J. Symons
I. FOUNDATIONAL ISSUES
The Construct and Definition of Pain in Developmental Disability	7	(12)
Kenneth D. Craig
Pain and Disability in an Ethical and Social Context	19	(22)
Dick Sobsey
Overview of Pain Mechanisms: Neuroanatomical and Neurophysiological Processes	41	(26)
Lois J. Kehl
Gary Goldetsky
II. EPIDEMIOLOGICAL, DEVELOPMENTAL, AND FUNCTIONAL ISSUES
The Epidemiology of Pain in Developmental Disabilities	67	(22)
Shauna Bottos
Christine T. Chambers
Developmental Issues in Acute and Chronic Pain in Developmental Disabilities	89	(20)
Lynn M. Breau
Bonnie Stevens
Ruth Eckstein Grunau
Pain in Individuals with Cerebral Palsy	109	(12)
Joyce M. Engel
Deborah Kartin
Pain, Health Conditions, and Problem Behavior in People with Developmental Disabilities	121	(18)
Craig H. Kennedy
Mark F. O'Reilly
III. ASSESSMENT AND TREATMENT ISSUES
Using the WHO's International Classification of Functioning, Disability and Health: A Framework in the Management of Chronic Pain in Children and Youth with Developmental Disabilities	139	(10)
Maureen E. O'Donnell
Assessing Pediatric Pain and Developmental Disabilities	149	(24)
Lynn M. Breau
Patrick J. McGrath
Marc Zabalia
Issues in Pain Assessment for Adults with Severe to Profound Mental Retardation: From Research to Practice	173	(20)
James W. Bodfish
Vicki N. Harper
Jennifer M. Deacon
Joseph R. Deacon
Frank J. Symons
Pharmacological Management of Pain in Children and Youth with Significant Neurological Impairments	193	(22)
Anna Taddio
Tim F. Oberlander
IV. EPILOGUE
Pain in Developmental Disabilities: Lessons Learned	215	(12)
Neil L. Schechter
Translational Research Perspectives and Priorities	227	(8)
Frank J. Symons
Tim F. Oberlander
Index	235