This comprehensive book is designed to help pediatric health professionals of all disciplines gain understanding and skill in how to approach and treat children's pain, and how to help children make sense of and deal with their own pain. Pain is the most common reason for children to seek a medical consultation - and sometimes a common reason for avoiding it. Unaddressed fears and anxiety complicate pain management and recovery. A central theme in this book is the examination of children's fears and anxieties that accompany their need for pain relief, and the communication skills and words that can help calm these fears. This book is addressed to all disciplines, in its valuing of the professional-patient relationship and in the language used to allay anxiety, address fears and promote relief and well-being. It is organized into three parts:Part I explores our scientific understanding of pain as a part of children's development. Part II explores pain treatments themselves, their efficacies and how to combine them for therapeutic impact. Part III uses this understanding to help translate knowledge into clinical practice in three domains of pediatric medicine: the physicians' practice, the dental practice, and in the hospital. This volume also includes contributions by Dr. Jonathan Kuttner, on the neuroanatomy and neurophysiology of pain, Dr. Carl von Baeyer on pain assessment, and Drs Stefan Freidrichsdorf and Helen Karl on the pharmacological management of pain.Without doubt, this volume will stand as the "bible" on pediatric pain management for years to come.

A story of forgiveness and reconciliation, a call to divorcing parents to reconsider. Michael lives in London with his family. His wife, Mary, has hit the bottle and is falling apart. Their love is history. Resentment flares. Mary takes the children to visit friends and does not return. Soon, he is summoned to court on charges of violence and being a danger to his children. Orders of arrest are placed on him and Mary tries to throw him out of their home so she can live alone with the children. Michael knows the courts favour mothers, but, outraged by the lies, decides to fight injustice to the end. He battles without lawyers, believing only he, as the father, cares enough about his children to save them. He wins. Mary is devastated. Through soul searching and forgiveness he convinces Mary to return so the children can grow up with both parents.

Named a 2013 Doody's Core Title! "I would recommend this great little book for nurses who wish to carry a book with them in their clinical practice. Itís a great addition to the growing list of books addressing pain in pediatrics."--Pediatric Pain Letter "[This book] is a practical guide to pediatric pain assessment and management for the advanced practice nurse and primary caregivers who are interested in caring for patients with pain, but whose care specialty is not pain management. For the nurses whose specialty is pain management, this text provides a quick pediatric reference of our knowledge and tools of our trade. Even though it is a 'compact guide,' this text is well referenced with current key position statements, clinical practice guidelines, and primary references of the latest pediatric pain management research."--Pain Management Nursing Presented in a concise, systematic format, this clinically oriented book provides nurses and physicians quick access to up-to-date information on how to assess and manage pain in infants and children, including adolescents who suffer from acute and chronic pain conditions. This book provides a comprehensive review of medications for infants and children as well as nonpharmacological interventions to achieve optimal pain management for young patients undergoing needle-related procedures as well as painful conditions related to surgery, trauma, cancer, sickle cell disease, and chronic pain. Key Features: Describes the consequences of untreated pain on development of children Summarizes pain assessment tools recommended for verbal and preverbal patients as well as those who are critically or terminally ill Provides general principles and specific dosing recommendations for non-opioids, opioids, and coanalgesics for optimal safety and effective reduction in pain Describes the indications, medications, and ongoing care and monitoring related to the increasing use of epidural and continuous peripheral nerve block infusions for pediatric patients Provides information on how to use age-appropriate strategies for cognitive, cognitive-behavioral, and physical approaches to reduce pain Includes useful resources, such as websites, and other tools, such as pain diaries and patient education information, to support multidisciplinary teams and parents who care for children with acute and chronic pain

An essential survival guide for parents whose children suffer with persistent and often debilitating pain Approximately ten million children are living with chronic pain. Most people would be surprised at such numbers, but for the parents of these children, the challenge of helping a pain-stricken child live a normal life is a frightening and frustrating reality. Chronic pain in children can manifest as abdominal, migraine, or facial pain. It also stems from a wide variety of disorders such as juvenile rheumatoid arthritis, cystic fibrosis, hemophilia, and childhood cancers. No matter what type of chronic pain the child suffers with, a parent must be armed with an understanding of how a child's expression and experience of pain differs from an adult's. Trained in pediatric anesthesia and intensive care at Boston Children's Hospital, Dr. Elliot Krane has devoted his entire professional life to refining and innovating techniques, strategies, and therapies to relieve the suffering of children with pain. In his book, Relieve Your Child's Chronic Pain, parents will find the information and tools they need to get the very best care for their child. It will help you: Recognize, measure, and evaluate your child's pain properly Learn about the many alternative pain-management approaches that can be used at home Dispel fears about addiction if your child is prescribed a narcotic Find an appropriate pain-management clinic for your child Reduce the stress and anxiety in the home in a way that benefits the entire family You may not always be able to eliminate chronic pain entirely, but you can succeed in minimizing your child's suffering.

“An important, compassionate book.” — Deepak Chopra “Parents! If you hava child in pain, read this book. There is hope.” — James Campbell, M.D., Professor of Jeurological Surgery and Director, Johns Hopkins University School of Medicine; Founder and President, American Pain Foundation “An outstanding book for parents of children and adolescents with chronic pain. I recommend it highly.” — Charles Berde, M.D., Ph.D., Chief, Division of Pain Medicine, Department of Anesthesiology, Children's Hospital, Boston; Professor of Anaesthesia and Pediatrics, Harvard Medical School “A valuable and important book that will be appreciated by every family struggling with a child in pain.” — Neil L. Schechter, M.D., Professor of Pediatrics, University of Connecticut School of Medicine; Director, Pain Relief Program, Connecticut Children's Medical Center “Reassuring and informative. Parents will gain hope when they discover the many available treatment options.” — Kenneth R. Goldschneider, M.D., F.A.A.P., Director, Division of Pain Management, Cincinnati Children's Hospital Medical Center and Susmita Kashikar-Zuck, Ph.D, Associate Professor of Pediatrics, Cincinnati Children's Hospital Medical Center “I hope Dr. Zeltzer continues to do subjective research on yoga so that the young generation regains freedom from pain...” — B.K.S. Iyengar “A wonderful book! Dr. Zeltzer’s approach is loving, respectful, upbeat, and best of all - successful.” — Laura Schanberg, M.D., Associate Professor, Pediatric Rheumatology, Duke University Medical Center “A must-read for any patient with chronic pain.” — Steven J. Weisman, M.D., Jane B. Pettit Chair in Pain Management, Children's Hospital of Wisconsin; Professor of Anesthesiology and Pediatrics, Medical College of Wisconsin “Now [Dr. Zeltzer’s] wisdom is available to all.” — Patrick J. McGrath, O.C., Ph.D., F.R.S.C., Canadian Institutes of Health Research Distinguished Scientist; Killam Professor of Psychology and Professor of Pediatrics and Psychiatry, Dalhousie University “This is an amazingly caring, competent, and useful book. It opens your mind but also your heart...” — Vanna Axia, Ph.D., Professor of Developmental Psychology, Child Neuro-psychiatry Specialization School, School of Medicine; Director “All [Dr. Zeltzer’s] work has resulted in real solutions for children and their parents.” — David Geffen “One of the few [books] for laypeople on chronic pain in children.” — Washington Post “Informative, practical, and well written.” — Pediatric Pain Letter

Cover -- Title -- Copyright -- Dedication -- Contents -- List of figures -- Permissions -- Preface: A note to readers -- Acknowledgments -- Introduction -- 1 Migraine as invisible disability -- 2 A history of pediatric pain and the politics of pill culture -- 3 Materia medica and literary migraine -- 4 Testifying against trigemony -- 5 Visibility machines and pain proxies -- Conclusion: Animality, empathy, and interdependence -- Afterword: Scars (a migraine diary) -- Appendix -- Works cited -- Index

This book intends to act as a resource for those caring for children. The children I nursed who experienced pain are the stimulus for both my interest in the issue of pain and latterly in writing this book. Some of the children I cared for stand out as milestones in terms of provoking thought and in questioning practice -James, Ralph and Felicity. These children were tough and brave and taught me a lot about the human aspect of pain and suffering. However, as children, especially vulner able children in hospital, they would not have had to have been as tough or as brave if! had been more knowledgeable about practice issues such as distraction, imagery, massage and so on or had a better understanding of the complexity of pain. Nursing should add to a child's life. By developing knowledge and skills within pain management and prevention nurses are in a strong position to ensure that they, the child and their family are in control of the pain and that the pain is not in control of the child. Developing these skills is ultimately rewarding both personally and professionally and nurses should be encouraged to scrutinize their practice carefully and identify areas where improvements could be made. Listening carefully to what children and their families say about their pain and in identifying the needs of the individual child is an essential part of holistic and comprehensive nursing care.

"Madeline is a 15-year-old girl with abdominal pain and headaches that occur most days of the week. Because of her pain, she has missed 99 days of school this year and is no longer able to play volleyball. Her parents have taken her to see a number of specialists and she has tried many different medications but she has not experienced any improvement in her pain..." Studies suggest that as many as four out of ten children and adolescents suffer from chronic pain. The causes of chronic pain in young people vary, from illness-related causes to pain following medical procedures. In fact, in some children the cause of chronic pain is never explained. Managing Your Child's Chronic Pain is an invaluable resource for parents who wish to learn how to help their children and families cope with persisting pain using cutting-edge, scientifically proven treatment tools and techniques. The easy-to-implement strategies in this book provide parents with practical instructions for pain management that will enable children to return to school, participate in sports and other activities, and pursue healthy and active social lives. With guidance on how to prevent relapse, maintain improvements, and prevent future problems with pain and disability, Managing Your Child's Chronic Pain will empower parents to take a hands-on approach to relieving their child's pain.

"This volume addresses the assessment of the most commonly encountered disorders or conditions among adults, older adults, and couples. Evidence-based strategies and instruments for assessing mood disorders, anxiety disorders, couple distress and sexual problems, health-related problems, and many other conditions are covered in depth. With a focus throughout on assessment instruments that are feasable, psychometrically sound, and useful for typical clinical practice, a rating system has been designed to provide evaluations of a measure's norms, reliability, validity, and clinical utility. Standardized tables summarize this information in each chapter, providing essential information on the most scientifically sound tools available for a range of assessment needs."--BOOK JACKET.

This volume provides practicing clinicians and researchers with an update on treatments found to be effective in pediatric psychology as well as those that are emerging in the field and have promise of being proven effective as additional research is conducted. Several chapters contain descriptions of different treatment protocols as well as specific scripts for certain procedures. These materials will be useful to clinicians in their day-to-day practice and clinical researchers in implementing and/or developing research protocols. Leading pediatric psychology intervention researchers generously provide details of their treatments for a number of pediatric problems. This book provides a means by which treatment manuals and related data on the outcomes of interventions can be disseminated to practicing pediatric psychologists and to investigators. Readers can gain access to treatment protocols developed by leading pediatric psychology researchers at a website specifically developed for this book. Readers may use these manuals in clinical work or contact the manual developers if interested in using/adapting the manuals for research protocols. This website will be updated with additional treatment manuals for problems encountered in the practice of pediatric psychology.