Ensuring Pain Relief for Children at the End of Life

Pain management in the context of pediatric palliative care can be challenging. The present article reviews, through a case-based presentation, the nonpharmacological and pharmacological methods used to ensure adequate pain control in children facing end of life. Details on the impressive range of o...

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Main Authors: Marie-Claude Grégoire, Gerri Frager
Format: Article
Language:English
Published: Wiley 2006-01-01
Series:Pain Research and Management
Online Access:http://dx.doi.org/10.1155/2006/608536
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author Marie-Claude Grégoire
Gerri Frager
author_facet Marie-Claude Grégoire
Gerri Frager
author_sort Marie-Claude Grégoire
collection DOAJ
description Pain management in the context of pediatric palliative care can be challenging. The present article reviews, through a case-based presentation, the nonpharmacological and pharmacological methods used to ensure adequate pain control in children facing end of life. Details on the impressive range of opioid dosages required and routes of administration are highlighted from published literature and clinical experience. Where available, evidence-based recommendations are provided. Potential side effects of pain medication and barriers to good pain control are discussed. Novel analgesics and innovative delivery methods are presented as future tools enhancing pain relief at the end of life. Some challenges to ethically grounded research in this important context of care are reviewed.
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institution Kabale University
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spelling doaj-art-368028da491b4500a9956bb33189afdb2025-02-03T01:32:30ZengWileyPain Research and Management1203-67652006-01-0111316317110.1155/2006/608536Ensuring Pain Relief for Children at the End of LifeMarie-Claude Grégoire0Gerri Frager1Pediatric Pain and Palliative Care, Department of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, CanadaPediatric Palliative Care, Department of Pediatrics, IWK Health Centre, Dalhousie University, Halifax, Nova Scotia, CanadaPain management in the context of pediatric palliative care can be challenging. The present article reviews, through a case-based presentation, the nonpharmacological and pharmacological methods used to ensure adequate pain control in children facing end of life. Details on the impressive range of opioid dosages required and routes of administration are highlighted from published literature and clinical experience. Where available, evidence-based recommendations are provided. Potential side effects of pain medication and barriers to good pain control are discussed. Novel analgesics and innovative delivery methods are presented as future tools enhancing pain relief at the end of life. Some challenges to ethically grounded research in this important context of care are reviewed.http://dx.doi.org/10.1155/2006/608536
spellingShingle Marie-Claude Grégoire
Gerri Frager
Ensuring Pain Relief for Children at the End of Life
Pain Research and Management
title Ensuring Pain Relief for Children at the End of Life
title_full Ensuring Pain Relief for Children at the End of Life
title_fullStr Ensuring Pain Relief for Children at the End of Life
title_full_unstemmed Ensuring Pain Relief for Children at the End of Life
title_short Ensuring Pain Relief for Children at the End of Life
title_sort ensuring pain relief for children at the end of life
url http://dx.doi.org/10.1155/2006/608536
work_keys_str_mv AT marieclaudegregoire ensuringpainreliefforchildrenattheendoflife
AT gerrifrager ensuringpainreliefforchildrenattheendoflife