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.
Comprehensive, multidisciplinary overview of pediatric painPractical strategies for optimal diagnosis and treatmentCoverage of special topics, including pain in children with a developmental disability, functional abdominal pain, CAM approaches, chronic pelvic pain, and moreRecommendations on full range of issues to improve complete office-based pediatric pain management
General Considerations.- Pain and the Primary Pediatric Practitioner.- Developmental Issues in Understanding, Assessing, and Managing Pediatric Pain.- Measurement and Assessment of Pediatric Pain in Primary Care.- Pain Management for Children with a Developmental Disability in a Primary Care Setting.- Remote Management of Pediatric Pain.- Acute Pain Management.- Pain Management in the Primary Care Office.- Topical Anesthetics and Office-Based Procedures.- Analgesic Medications for Acute Pain Management in Children.- Pain Management in the Emergency Department.- Preparing Children for Invasive Procedures and Surgery.- Pain Relief After Outpatient Surgery.- Regional Anesthesia.- Recurrent and Chronic Pain Management.- How to Talk to Parents about Recurrent and Chronic Pain.- Multidisciplinary Approaches to Chronic Pain.- Psychological Interventions for Chronic Pain.- Complementary and Alternative Approaches for Chronic Pain.- Common Recurrent and Chronic Pain Problems in Primary Care.- Functional Abdominal Pain.- Headaches.- Evaluating and Managing Pediatric Musculoskeletal Pain in Primary Care.- Pain in Sickle Cell Disease.- Chronic Pelvic Pain.- Special Topics.- Palliative Care for the Pediatrician.- Labeling of Pediatric Pain Medications.- Pediatrician as Advocate.- Conclusion.
This comprehensive book, intended for those providing medical care to children, provides an overview of pediatric pain. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies.
