Pain in Children

by Walco, Gary A., Ph.D.; Goldschneider, Kenneth R., M.D.; Berde, Charles B., Ph.D., M.D.

• ISBN13: 9781934115312
• ISBN10: 1934115312
• Edition: 1st
• Format: Hardcover
• Copyright: 2008-11-30
• Publisher: Humana Pr Inc

Summary

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.

Table of Contents

Foreword	p. vii
Preface	p. xi
Acknowledgements	p. xiii
Contributors	p. xix
General Considerations
Pain and the Primary Pediatric Practitioner	p. 3
Developmental Issues in Understanding, Assessing, and Managing Pediatric Pain	p. 9
Measurement and Assessment of Pediatric Pain in Primary Care	p. 21
Pain Management for Children with a Developmental Disability in a Primary Care Setting	p. 29
Remote Management of Pediatric Pain	p. 39
Acute Pain Management
Pain Management in the Primary Care Office: General Considerations and Specific Approaches	p. 55
Topical Anesthetics and Office-Based Procedures	p. 65
Analgesic Medications for Acute Pain Management in Children	p. 73
Pain Management in the Emergency Department: A Primer for Primary Care Providers	p. 87
Preparing Children for Invasive Procedures and Surgery	p. 93
Pain Relief After Outpatient Surgery	p. 101
Regional Anesthesia	p. 111
Recurrent and Chronic Pain Management
How to Talk to Parents about Recurrent and Chronic Pain	p. 125
Multidisciplinary Approaches to Chronic Pain	p. 133
Psychological Interventions for Chronic Pain	p. 145
Complementary and Alternative Approaches for Chronic Pain	p. 153
Common Recurrent and Chronic Pain Problems in Primary Care
Functional Abdominal Pain	p. 163
Headaches	p. 173
Evaluating and Managing Pediatric Musculoskeletal Pain in Primary Care	p. 185
Pain in Sickle Cell Disease	p. 201
Chronic Pelvic Pain	p. 209
Special Topics
Palliative Care for the Pediatrician	p. 221
Labeling of Pediatric Pain Medications	p. 233
Pediatrician as Advocate	p. 257
Conclusion: What to Do When There Is Nothing to Do	p. 265
Index	p. 271
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