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.

All children have a right to appropriate prevention, assessment andcontrol of their pain. Managing Pain in Children is anevidence-based, practical guide to care in all areas of children'spain management, providing nurses and other health carepractitioners with the skills and expertise necessary to managechildren's pain effectively. The text first explores the relevant anatomy and physiology ofchildren, the latest policy guidelines surrounding pain managementand ethical issues involved in managing children's pain. It thengoes on to look at the various pain assessment tools available forchildren and non-drug methods of pain relief. The text then goes onto apply these pain management principles to practice in relationto acute pain, chronic pain, palliative care and the management ofprocedural pain. Each of these chapters covers the evidence base,assessment techniques, pain relieving interventions, and guidancefor best practice in both hospital and community settings. Special features: Practical and accessible, with 'best practice' points in eachchapter Written in the context of latest policy developments Provides the necessary evidence-base for care throughout With contributions from experts in the field

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.

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.

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.

Working with a child in pain is difficult, unavoidable and especially challenging when the child cannot explain what they are feeling. In this important book, Bernie Carter and Joan Simons bring together experience, evidence and research to deconstruct the topic and present the reality of children′s pain. Each chapter starts with a personal story from a child, a family member or a healthcare professional. The stories are drawn from a wealth of original research, and focus the reader on the individual child and their family. The chapter then goes on to introduce the relevant research, theory and implications for practice, so health professionals can use the evidence to support compassionate, child-centred care. Among the topics addressed are: - Ethical dilemmas - Assessing pain - Working in different settings - Inexplicable pain It is valuable reading for any healthcare student or professional working with children of all ages.

Pain is an increasingly common symptom in children and adolescents. Once recurrent pain leads to pain-related disability that affects a child’s functional, emotional and social well-being, it is considered a chronic pain disorder. Such disorders can develop as the primary condition or be due to a well-defined underlying physical condition, such as migraine or juvenile idiopathic arthritis. Approximately 5% of the paediatric population suffers from a severe chronic pain disorder. Its treatment in childhood and adolescence is complex and needs to address a variety of biological, psychological and social influencing factors. This treatment manual describes the inpatient treatment programme of one of the world’s largest inpatient treatment facilities for chronic pain management in children and adolescents – the German Paediatric Pain Centre. The guidance provided is also applicable to outpatient pain management or day-hospital approaches. The manual examines the epidemiology, aetiology, diagnostics and treatment principles in detail, explains the criteria for inpatient treatment, and describes the structure and organisation of a tertiary treatment centre for chronic pain. It also presents therapeutic interventions, such as dealing with “Black Thoughts”, “Distraction ABC”, “Stress Day” and the “Pain Provocation Technique” with the aid of numerous examples of pain management and health care from a clinical perspective. Lastly, it discusses the special features of pain treatment for children and adolescents with comorbid psychological disorders, family difficulties or defined somatic diseases, as well as pharmacological and interventional treatment options.

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

Cancer Pain Management, Second Edition will substantially advance pain education. The unique combination of authors -- an educator, a leading practitioner and administrator, and a research scientist -- provides comprehensive, authoritative coverage in addressing this important aspect of cancer care. The contributors, acknowledged experts in their areas, address a wide scope of issues. Educating health care providers to better assess and manage pain and improve patientsrsquo; and familiesrsquo; coping strategies are primary goals of this book. Developing research-based clinical guidelines and increasing funding for research is also covered. Ethical issues surrounding pain management and health policy implications are also explored.