Pain in Children. a Practical Guide for Primary Care

About this book

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.

Written for:

• Pediatricians, family practice physicians, internal medicine physicians, neurology

Table of contents

• Forward—Charles B. Berde
• Preface
• Acknowledgements

I. General Considerations

• Pain and the Primary Pediatric Practitioner--Gary A. Walco
• Developmental Issues in Understanding, Assessing, and Managing Pediatric Pain--Kenneth D. Craig and Christine T. Korol
• Measurement and Assessment of Pediatric Pain in Primary Care -- Carl L. von Baeyer
• Pain Management for Children with a Developmental Disability in a Primary Care Setting—Harold (Hal) Siden and Tim F. Oberlander
• Remote Management of Pediatric Pain— Paula A. Forgeron and Patrick McGrath

II. Acute Pain Management

• Pain Management in the Primary Care Office: General Considerations and Specific Approaches--Neil L. Schechter
• Topical Anesthetics and Office Based Procedures--William Zempsky
• Analgesic Medications for Acute Pain Management in Children--John Barns Rose
• Pain Management in the Emergency Department: A Primer for Primary Care Providers —Michael K. Kim
• Preparing Children for Invasive Procedures and Surgery--Ronald L. Blount, Megan L. McCormick, Jill E. MacLaren, and Zeev N. Kain
• Pain Relief after Outpatient Surgery—Robert T. Wilder and Kenneth R. Goldschneider
• Regional Anesthesia— Elliot J. Krane, Artee Gandhi, and R.J. Ramamurthi

III. Recurrent and Chronic Pain Management

• How to Talk to Parents about Recurrent and Chronic Pain--Tonya M. Palermo and Carl L. von Baeyer
• Multidisciplinary Approaches to Chronic Pain--Steven J. Weisman
• Psychological Interventions for Chronic Pain--Susmita KashakarKashiakarKashakar-Zuck and Anne M. Lynch
• Complementary and Alternative Approaches for Chronic Pain-- Subhadra Evans and Lonnie K. Zeltzer

IV. Common Recurrent and Chronic Pain Problems in Primary Care

• Functional Abdominal Pain--Lisa Scharff and Laura E. Simons
• Headaches--Navil F. Sethna and Alyssa A. Lebel
• Evaluating and Managing Pediatric Musculoskeletal Pain in Primary Care—Mark A. Connelly and Laura E. Schanberg
• Pain in Sickle Cell Disease—Carlton Dampier
• Chronic Pelvic Pain—Christine Greco

V. Special Topics

• Palliative Care for the Primary Pediatric Practitioner--Norbert J. Weidner and Mark J. Meyer
• Labeling of Pediatric Pain Medications--Hari Cheryl Sachs, Debbie Avant, and William Rodriguez
• Pediatrician as Advocate—Carol Schadelbauer
• Conclusion: What to Do When There is Nothing to Do--Kenneth R. Goldschneider