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40
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Text
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Citation List Month
July 2017 List
Notes
<p>1743-0593<br />Harrop, Emily Jane<br />Brombley, Karen<br />Boyce, Katherine<br />Journal Article<br />England<br />Arch Dis Child Educ Pract Ed. 2017 May 9. pii: edpract-2016-312522. doi: 10.1136/archdischild-2016-312522.</p>
Dublin Core
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Title
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Fifteen Minute Consultation: Practical Pain Management In Paediatric Palliative Care
Publisher
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Archives Of Disease In Childhood. Education And Practice Edition
Date
A point or period of time associated with an event in the lifecycle of the resource
2017
Subject
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Neurodisability; Neuropathic; Oncology; Pain; Palliative
Creator
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Harrop EJ; Brombley K; Boyce K
Description
An account of the resource
Pain and distress in the paediatric palliative care population can be very difficult to manage. Clinical scenarios range from the acute management of cancer-related pain at the end of life to the ongoing long-term support of children with complex multimodal pain related to progressive neurological conditions. Understanding the child's underlying condition, possible causes of pain and their preferred mode of communication are important to the delivery of holistic care. Modification of environmental factors, basic care consideration and non-pharmacological measures have a large role to play, alongside conventional analgesics. Medication may also need to be delivered by novel routes such as transdermal patches, continuous subcutaneous infusion of multiple drugs or transmucosal breakthrough analgesic doses. Two cases are used to illustrate approaches to these clinical problems.
Identifier
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10.1136/archdischild-2016-312522
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2017
Archives of Disease in Childhood. Education and Practice Edition
Boyce K
Brombley K
Harrop EJ
July 2017 List
Neurodisability
Neuropathic
Oncology
Pain
Palliative
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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February 2022 List
Text
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Citation List Month
February 2022 List
URL Address
<a href="http://doi.org/10.1136/bmjspcare-2021-003278" target="_blank" rel="noreferrer noopener">http://doi.org/10.1136/bmjspcare-2021-003278</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Oral morphine versus transmucosal diamorphine for breakthrough pain in children: methods and outcomes: UK (DIPPER study) consensus
Publisher
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BMJ Supportive & Palliative Care
Date
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2021
Subject
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Oral morphine; paediatrics; pain; transmucosal diamorphine
Creator
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Harrop E; Liossi C; Jamieson L; Gastine S; Oulton K; Skene SS; Howard RF; Johnson M; Boyce K; Mitchell L; Jassal S; Anderson AK; Hain R; Hills M; Bayliss J; Soman A; Laddie J; Vickers D; Mellor C; Warlow T; Wong IC
Description
An account of the resource
OBJECTIVES: No randomised controlled trials have been conducted for breakthrough pain in paediatric palliative care and there are currently no standardised outcome measures. The DIPPER study aims to establish the feasibility of conducting a prospective randomised controlled trial comparing oral and transmucosal administration of opioids for breakthrough pain. The aim of the current study was to achieve consensus on design aspects for a small-scale prospective study to inform a future randomised controlled trial of oral morphine, the current first-line treatment, versus transmucosal diamorphine. METHODS: The nominal group technique was used to achieve consensus on best practice for mode of administration, dose regimen and a range of suitable pain intensity outcome measures for transmucosal diamorphine in children and young people with breakthrough pain. An expert panel of ten clinicians in paediatric palliative care and three parent representatives participated. Consensus was achieved when agreement was reached and no further comments from participants were forthcoming. RESULTS: The panel favoured the buccal route of administration, with dosing according to the recommendations in the Association for Paediatric Palliative Medicine formulary (fifth Edition, 2020). The verbal Numerical Rating Scale was selected to measure pain in children 8 years old and older, the Faces Pain Scale-Revised for children between 4 and 8 years old, and Face, Legs, Activity, Cry and Consolability (FLACC)/FLACC-Revised as the observational tools. CONCLUSIONS: The nominal group technique allowed consensus to be reached for a small-scale, prospective, cohort study and provided information to inform the design of a randomised controlled trial.
Identifier
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<a href="http://doi.org/10.1136/bmjspcare-2021-003278" target="_blank" rel="noreferrer noopener">10.1136/bmjspcare-2021-003278</a>
Rights
Information about rights held in and over the resource
Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2021
Anderson AK
Bayliss J
BMJ Supportive & Palliative Care
Boyce K
February 2022 List
Gastine S
Hain R
Harrop E
Hills M
Howard RF
Jamieson L
Jassal S
Johnson M
Laddie J
Liossi C
Mellor C
Mitchell L
Oral morphine
Oulton K
Paediatrics
Pain
Skene SS
Soman A
transmucosal diamorphine
Vickers D
Warlow T
Wong IC