Browse Items · Pediatric Palliative Care Library

Pain assessment tools in paediatric palliative care: A systematic review of psychometric properties and recommendations for clinical practice

BACKGROUND: Assessing pain in infants, children and young people with life-limiting conditions remains a challenge due to diverse patient conditions, types of pain and often a reduced ability or inability of patients to communicate verbally. AIM: To…

Tags: 2021, Chan AY, February 2022 List, Ge M, Harrop E, Howard RF, Jamieson L, Johnson M, Liossi C, Oulton K, Paediatrics, Pain Assessment, Pain Measurement, Palliative Care, Palliative Medicine, Skene SS, Systematic Review, Wong IC

Crying out in pain-A systematic review into the validity of vocalization as an indicator for pain

BACKGROUND: Vocalization is often used to assess pain, sometimes combined with other behaviours such as facial expressions. Contrary to facial expressions, however, for vocalization, there is little evidence available on the association with pain.…

Tags: 2020, Achterberg WP, Aged, Aged 80 and over, April 2021 List, Child, Crying, de Vries R, European Journal Of Pain, Helmer LML, Humans, Lautenbacher S, Lobbezoo F, Pain Measurement, Pain/diagnosis, Sampson EL, Weijenberg RAF

Caregiver-Child Discrepancies in Reports of Child Emotional Symptoms in Pediatric Chronic Pain

OBJECTIVE: Pediatric chronic pain evaluation includes self-reports and/or caregiver proxy-reports across biopsychosocial domains. Limited data exist on the effects of caregiver-child discrepancies in pediatric pain assessment. In children with…

Challenge of pain in the cognitively impaired

2000

Tags: 2000, Abu-Saad HH, Backlog, Cognition Disorders/physiopathology, Cold/adverse effects, Down Syndrome/physiopathology, Human, Journal Article, Lancet, Pain Measurement, Pain/etiology/physiopathology, Reaction Time

Summary proceedings from the neonatal pain-control group

Recent advances in neurobiology and clinical medicine have established that the fetus and newborn may experience acute, established, and chronic pain. They respond to such noxious stimuli by a series of complex biochemical, physiologic, and…

Diagnostic evaluation using whole-body technetium bone scan in children with cerebral palsy and pain.

BACKGROUND: Pain in noncommunicative children can be difficult to localize and diagnose. The purpose of this study is to report our experience using a 3-phase whole-body technetium bone scan as a screening tool in identifying the source of persistent…

Pediatric Palliative Care Pilot Curriculum: Impact Of "pain Cards" On Resident Education

BACKGROUND:
Prior research has shown that less than 40% of pediatric program directors believe their graduating residents competent in palliative care. While many curricula have been developed to address this need, few have demonstrated improved…

The use of an intrathecal pump to manage intractable cancer pain in a pediatric patient: a case report

A 15-year-old girl with combined immune deficiency syndrome, diagnosed with metastatic squamous cell cancer of the anus, had significant pain secondary to vulvar-perianal condyloma. Conventional treatment with oral and intravenous analgesics was…

Comparison of morphine and methadone for prevention of postoperative pain in 3- to 7-year-old children

A randomized, double-blind, prospective study was performed to determine the effects of perioperative administration of morphine or methadone on postoperative analgesic requirements and pain scores in 35 children aged 3 to 7 years undergoing major…

Ketamine-fentanyl-midazolam infusion for the control of symptoms in terminal life care

In this report, we describe nine terminally ill patients with metastatic cancer who were treated with an intravenous infusion consisting of ketamine (2 mg/ml)/fentanyl (5 micrograms/ml)/midazolam (0.1 mg/ml) (K/F/M) to control pain after traditional…

[Management of cancer pain in children]

Pain and cancer cannot be dissociated. A particular feature observed in children is that the child exhibits a certain psychomotor atony with increasing pain. The child complains less and less, making it difficult to recognize the degree of suffering…

Tags: 2006, Analgesics/therapeutic use, Annales pharmaceutiques françaises, Antineoplastic Agents/adverse effects, Backlog, Bourdon O, Brion F, Chemistry, Child, English Abstract, Humans, Iatrogenic Disease, Journal Article, Neoplasms/complications, Pain Measurement, Pain/drug therapy/etiology, PedPal Lit, Pharmaceutical

Control of inflammatory pain by chemokine-mediated recruitment of opioid-containing polymorphonuclear cells

Opioid-containing leukocytes can counteract inflammatory hyperalgesia. Under stress or after local injection of corticotropin releasing factor (CRF), opioid peptides are released from leukocytes, bind to opioid receptors on peripheral sensory neurons…

Tags: 2004, Analysis of Variance, Animals, Antibodies/pharmacology, Backlog, Brack A, Cell Count/methods, Cell Movement/physiology, Chemokines, Chemokines/immunology/physiology, Comparative Study, Corticotropin-Releasing Hormone/therapeutic use, CXC/immunology/metabolism, Dose-Response Relationship, Drug, Drug Administration Routes, Enzyme-Linked Immunosorbent Assay/methods, Flow Cytometry/methods, Freund's Adjuvant, Gene Expression Regulation/physiology, Immunohistochemistry/methods, Intercellular Signaling Peptides and Proteins/immunology/metabolism, Interleukin-8B/metabolism, Journal Article, Leder K, Machelska H, Male, Mousa SA, Naloxone/pharmacology, Narcotics/metabolism, Neurogenic Inflammation/chemically induced/complications/therapy, Neutrophils/metabolism, Non-U.S. Gov't, Pain, Pain Measurement, Pain Threshold/drug effects, Pain/etiology/therapy, Rats, Receptors, Research Support, Rittner HL, Schafer M, Stein C, Wistar

Non-communicating children's pain checklist: better pain assessment for severely disabled children

Advances in the treatment of pain for children with severe disabilities have lagged behind that for other children. This is due, in part, to a lack of valid assessment tools for their pain. The non-communicating children's pain checklists are…

Tags: 2003, Backlog, Breau LM, Child, Child Behavior Disorders, Child Development Deviations, Child Development Disorders, Child Psychology, Cognition Disorders, Developmental Disabilities, Expert Review Of Pharmacoeconomics And Outcomes Research, Journal Article, Mental Disorders, Mental Retardation, Minors, Pain, Pain Measurement

Determinants of do-not-resuscitate orders in palliative home care.

OVERVIEW: Do-not-resuscitate (DNR) orders allow home care clients to communicate their own wishes over medical treatment decisions, helping to preserve their dignity and autonomy. To date, little is known about DNR orders in palliative home care.…

Pediatric pain practices: a national survey of health professionals

The purpose of this study was to examine how health-care providers in U.S. teaching hospitals assess and manage children's pain. A 59-item questionnaire was sent to institutions with pediatric residency programs listed in the 1992 National Residency…

Tags: 1996, Alexander M, Backlog, Broome ME, Child, Hospitals, Humans, Journal Article, Journal of Pain and Symptom Management, Maikler V, Pain Measurement, Pain/therapy, Physician's Practice Patterns, Questionnaires, Richtsmeier A, Teaching, United States

Parental assessment of pain coping in individuals with intellectual and developmental disabilities

Pain coping is thought to be the most significant behavioural contribution to the adjustment to pain. Little is known about how those with intellectual and developmental disabilities (IDD) cope with pain. We describe parental reported coping styles…

Optimal pain relief in infants and children

1993

Tags: 1993, Analgesia/methods, Anesthesia/methods, Anesthetics/therapeutic use, Backlog, Berde CB, Bmj (clinical Research Ed.), Burrows FA, Humans, Infant, Journal Article, Morphine/therapeutic Use, Newborn, Pain Measurement, Pain/drug Therapy

Mirror therapy for phantom limb pain

A randomized, controlled trial of acetaminophen, ibuprofen, and codeine for acute pain relief in children with musculoskeletal trauma

OBJECTIVE: Our goal was to determine which of 3 analgesics, acetaminophen, ibuprofen, or codeine, given as a single dose, provides the most efficacious analgesia for children presenting to the emergency department with pain from acute musculoskeletal…

Patient-controlled analgesia for mucositis pain in children: a three-period crossover study comparing morphine and hydromorphone

OBJECTIVES: (1) To test the safety and efficacy of a clinical protocol for administering opioid by using patient-controlled analgesia (PCA) for the management of mucositis pain in children after bone marrow transplantation, (2) to compare the…

The treatment of lateral epicondylitis by iontophoresis of sodium salicylate and sodium diclofenac

OBJECTIVE: To investigate the effectiveness of sodium diclofenac and sodium salicylate applied by topical iontophoresis and to compare them in the treatment of lateral epicondylitis. SUBJECTS: Forty patients with lateral epicondylitis were randomized…

Tags: 1998, Adult, Anti-Inflammatory Agents, Backlog, Clinical Rehabilitation, Comparative Study, Demirtas RN, Diclofenac/administration & Female, Humans, Iontophoresis, Journal Article, Male, Middle Aged, Non-Steroidal/administration & dosage, Oner C, Pain Measurement, Random Allocation, Sodium Salicylate/administration & Tennis Elbow/drug therapy

Direct conversion from oral morphine to transdermal fentanyl: a multicenter study in patients with cancer pain

Direct conversion from oral morphine to transdermal fentanyl with a ratio of oral morphine/transdermal fentanyl (100:1 mg) daily was examined in patients with cancer pain. Patients with a 'stable and low level of cancer pain' receiving a constant…

Tags: 1996, Administration, Adult, Aged, Analgesics, Backlog, Cutaneous, Donner B, Female, Fentanyl, Humans, Journal Article, Male, Middle Aged, Morphine, Neoplasms, Opioid, Pain, Pain Measurement, Regression Analysis, Strumpf M, Tryba M, Zenz M

Comparison of different bolus doses of morphine for patient-controlled analgesia in children

Forty children undergoing appendicectomy were allocated randomly to receive one of two PCA regimens with morphine. Group B10 received bolus doses of 10 micrograms kg-1 and group B20 received bolus doses of 20 micrograms kg-1. In both groups there was…

Avoiding admission for afebrile pediatric sickle cell pain: pain management methods

Chronic pain in adolescents: evaluation of a programme of interdisciplinary cognitive behaviour therapy

Aim: To determine the effectiveness of an interdisciplinary cognitive behavioural treatment for adolescents with chronic pain. METHODS: Fifty seven adolescents (mean age 14.28 years) with chronic pain and 57 accompanying adults underwent an…

A double-blind, crossover trial of intravenous clodronate in metastatic bone pain

After a baseline symptom and laboratory assessment, 24 patients with metastatic bone disease and pain were randomized to receive either a 4-hr intravenous infusion of 2-dichloromethylene bisphosphonate (Cl2MDP), 600 mg in 500 mL of normal saline, or…

Transdermal fentanyl in the management of children with chronic severe pain: results from an international study

BACKGROUND: The current study was conducted to assess the safety and tolerability of a transdermal fentanyl delivery system for the relief of chronic pain in a pediatric population, and also to validate titration recommendations and conversion to…

The management of pain in children with life-limiting illnesses

The management of pain in children with life-limiting illnesses is complex and unfortunately not often done effectively. Pain is a multidimensional symptom that can overshadow all other experiences of both the child and family. This article focuses…

Pain and symptom control in terminally ill children

The management of pain in terminally ill pediatric patients has incalculable benefits to patients, their families, and physicians and nurses. A therapeutic management plan is dependent on a thorough understanding of the causes of pain in these…

The course of high-sensitive C-reactive protein in correlation with pain and clinical function in patients with acute lumbosciatic pain and chronic low back pain - a 6 months prospective longitudinal study

In this prospective longitudinal study with a follow-up of 6 months, the course of serum concentration of C-reactive protein was measured by an ultrasensitive immunoassay in 31 patients with acute lumbosciatic pain and 41 patients with chronic low…

Massage therapy for symptom reduction and improved quality of life in children with cancer in palliative care: A pilot study

Background: For children with cancer in palliative care, pain and worry are common and frequently under-managed, which negatively impacts quality of life (QOL). Massage therapy (MT) can lead to reduced pain in children with chronic illnesses.…

ABC of palliative care. Special problems of children

1998

Tags: 1998, Backlog, Bereavement, Bmj (clinical Research Ed.), Child, Child Health Services, Child welfare, Family Health, Goldman A, Great Britain, Humans, Journal Article, Pain Measurement, Pain/etiology, Palliative Care, Preschool, Social Support

Comparative clinical efficacy and safety of immediate release and controlled release hydromorphone for chronic severe cancer pain

BACKGROUND. The short elimination half-life of hydromorphone necessitates 4-hourly dosing to maintain optimal levels of analgesia in patients with chronic cancer pain. The purpose of this study was to compare the clinical efficacy and safety of…

Inpatient-based intensive interdisciplinary pain treatment for highly impaired children with severe chronic pain: randomized controlled trial of efficacy and economic effects

Pediatric chronic pain, which can result in deleterious effects for the child, bears the risk of aggravation into adulthood. Intensive interdisciplinary pain treatment (IIPT) might be an effective treatment, given the advantage of consulting with…

Transdermal fentanyl for pain relief in a paediatric palliative care population

This multicentre, observational study examined the efficacy of the therapeutic transdermal fentanyl system (TTS-fentanyl) in children requiring opioids for pain in life-threatening disease. Forty-one children receiving oral morphine (median dose 60…

Rapid painless diagnosis of viral respiratory infection

The concordance of nasal compared with nasopharyngeal swabs was assessed for the diagnosis of respiratory viral infections, and the degree of discomfort associated with each procedure was compared. The use of nasal swabs was shown to be as accurate…

Control beliefs, coping efforts, and adjustment to chronic pain

This study examined factors hypothesized to influence adaptation to chronic pain in 118 patients who were interviewed to gauge adjustment (psychological functioning, medical services utilization, and activity level) and several widely discussed…

Tags: 1991, Adaptation, Backlog, Chronic Disease, Female, Humans, Internal-External Control, Jensen MP, Journal Article, Journal Of Consulting And Clinical Psychology, Karoly P, Male, Middle Aged, Pain, Pain Measurement, Psychological, Sick Role

Epidural analgesia for postoperative pain control in children

Ninety-eight continuous postoperative epidurals were administered to 87 children. The patients were divided into two groups: group I included 63 cases in which a 0.0625-0.25% solution of bupivacaine was continuously administered; group II included 35…

Opioids in chronic non-cancer pain: systematic review of efficacy and safety

Opioids are used increasingly for chronic non-cancer pain. Controversy exists about their effectiveness and safety with long-term use. We analysed available randomised, placebo-controlled trials of WHO step 3 opioids for efficacy and safety in…

Analgesic effect of the synthetic cannabinoid CT-3 on chronic neuropathic pain: a randomized controlled trial

CONTEXT: 1',1'dimethylheptyl-Delta8-tetrahydrocannabinol-11-oic acid (CT-3), a potent analog of THC-11-oic acid, produces marked antiallodynic and analgesic effects in animals without evoking the typical effects described in models of cannabinoids.…

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