Managing Pain in Children and Young People : A Clinical Guide

• Autore: Alison Twycross
• Pubblicazione: Wiley, 2024
• Edizione: 3rd ed.
• Descrizione fisica: 1 online resource (432 pages)
• Disciplina: 618.920472
• Persona (resp. second.): TwycrossAlison; StinsonJennifer; ZempskyWilliam; JordanAbbie
• Nota di contenuto: Cover -- Title Page -- Copyright Page -- Dedication Page -- Contents -- Contributors -- Foreword -- Acknowledgements -- Chapter 1 Introduction -- Multimodal Pain Management -- World Health Organization Pain Ladder -- Physical Pain-relieving Interventions -- Psychological Pain-relieving Interventions -- References -- Chapter 2 Why Treating and Preventing Pain Matters -- What is Pain? -- Nociceptive Pain -- Chronic Pain -- What is Unique about Pain in Children and Young People? -- The Historical Context of Children and Young People's Pain -- The Current Context of Children and Young People's Pain -- Children and Young People Continue to Experience Undermanaged and Preventable Nociceptive Pain -- Children and Young People Continue to Experience Undermanaged Chronic Pain -- Consequences of Undermanaged Pain in Children and Young People -- Consequences of Undermanaged Nociceptive Pain in Childhood -- Consequences of Undermanaged Chronic Pain in Childhood -- Ethical Imperative of Managing Pain in Children -- Summary -- Multiple Choice Questions -- References -- Chapter 3 Anatomy and Physiology of Pain -- What is Pain? -- The Nervous System -- Pain Mechanisms -- Transduction -- Transmission -- Myelination and Transmission Speed -- Perception -- Modulation -- Gate Control Theory of Pain -- Neuromatrix Theory of Pain -- Biopsychosical Theory of Pain -- Central Sensitisation in Chronic Pain -- Nociceptive Pain -- Visceral Pain -- Neuropathic Pain -- Chronic Postsurgical Pain -- Physiology of Pain in Children and Young People -- Postnatal Development of Pain Processing -- Summary -- Multiple Choice Questions -- Acknowledgements -- References -- Chapter 4 Pain: A Biopsychosocial Phenomenon -- Introduction -- Nociception -- Biological Factors -- Age -- Sex and Gender -- Cognitive Development -- Genetics -- Psychological Factors -- Temperament -- Fear. ; Catastrophic Thinking -- Optimism -- Pain Memories -- Social Factors -- Culture -- Parental, Family and Other Social Agents -- Summary -- Multiple Choice Questions -- References -- Chapter 5 Pharmacology of Analgesics -- How Drugs Work -- Pharmacokinetics -- Routes of Drug Administration -- Medication Challenges in Infants, Children and Young People -- Selection of analgesics -- Non-opioid Analgesics -- Paracetamol -- Non-steroidal Anti-inflammatory Drugs -- Are Paracetamol and Ibuprofen Equally Efficacious and Safe for Nociceptive (Acute) Pain Management? -- Are Paracetamol and Ibuprofen Equally Efficacious and Safe for Chronic Pain Management? -- Should Paracetamol and Ibuprofen be Used Together or Alternately? -- Opioid Analgesics -- Opioid Misuse and Substance Use Disorder -- Opioid Tapering -- Mixed Opioids -- Tramadol -- Buprenorphine -- Opioid Antagonists -- Naloxone -- Anaesthetics -- Local Anaesthetics -- Topical Local Anaesthetics -- Ketamine -- Adjuvant Drugs -- Gabapentinoids -- Tricyclic Antidepressants -- Cannabinoids -- Summary -- Multiple Choice Questions -- Acknowledgements -- Useful Web Resources -- References -- Chapter 6 Pain Assessment -- Pain Measurement and Pain Assessment -- Assessing Pain in Children and Young People -- Taking a Pain History -- Assessing CYP's Pain Using a Developmentally Appropriate Pain Assessment Tool -- Self-reportTools -- Behavioural Tools -- Physiological Indicators -- Pain Assessment Tools for Neonates -- Pain Assessment in Ventilated CYP -- Pain Assessment in CYP with Learning Disabilities -- Ruling Out Delirium, Withdrawal and Other Non-pain Pathologies when Assessing Pain -- Choosing the Right Pain Assessment Tool -- How Often Should Pain be Assessed? -- Documentation -- Summary -- Acknowledgements -- Multiple Choice Questions -- References -- Chapter 7 Preventing and Treating Nociceptive Pain. ; What is Nociceptive Pain? -- Causes of Nociceptive Pain in Children and Young People -- Surgical Stress Response -- Managing Nociceptive Pain -- Aims of Pain Management -- Best Practice Guidelines -- Pain Assessment -- Pain Management in the Hospital Setting -- Pharmacological Pain-relieving Interventions -- Optimising the Safety of Analgesic Drugs -- Non-opioids -- Opioids -- Oral Opioids -- Intranasal Opioids -- Parenteral Opioids -- Intravenous and Subcutaneous Opioids -- Intermittent Opioid Boluses -- Continuous Opioid Infusions -- Managing the Adverse Effects of Opioids -- Local Anaesthetics -- Other Analgesic Drugs -- Analgesic Administration Techniques -- Patient-controlled Analgesia -- PCA-by-proxy -- Weaning PCA -- Regional Anaesthesia -- Central Blocks -- Peripheral Blocks -- Optimising the Safety of Regional Anaesthesia -- Assessment of Sensory and Motor Block -- Catheter Position and Insertion Site -- Pressure Area Care -- Anticoagulant Medication -- Urinary Retention -- Regional Anaesthesia: Problem-solving -- Stopping Regional Anaesthesia Infusions -- Pain Problem-solving: What to Do if the Pain Management Plan Is Not Working -- Transition to Oral Analgesics from Specialist Analgesic Techniques -- Pain Medications at Home -- Psychological Pain-relieving Interventions -- Physical Pain-relieving Interventions -- Spirituality and Nociceptive Pain in Children and Young People -- Summary -- Acknowledgements -- Key to Case Study -- Part 1 -- Part 2 -- Part 3 -- Part 4 -- Part 5 -- Part 6 -- Multiple Choice Questions -- References -- Chapter 8 The Prevention and Treatment of Neuropathic and Visceral Pain -- Neuropathic Pain -- Causes of Neuropathic Pain -- Conditions of the Central Nervous System -- Conditions of the Peripheral Nervous System -- Visceral Pain -- Causes of Visceral Pain in CYP -- Assessing Neuropathic and Visceral Pain. ; Additional Considerations When Assessing Neuropathic Pain -- Additional Considerations When Assessing Visceral Pain -- Treatments for Neuropathic and Visceral Pain -- Physical Interventions -- Psychological Interventions -- Pharmacological Interventions -- Spiritual Considerations -- Summary -- Key to Case Study -- Part 1 -- Part 2 -- Part 3 -- Multiple Choice Questions -- Acknowledgements -- References -- Chapter 9 Musculoskeletal Pain in Children and Young People -- What is Musculoskeletal Pain? -- Epidemiology and Presentation of MSK Pain for CYP -- Impact of MSK Pain -- Clinical Features of Chronic MSK Pain -- Risk Factors for Chronic MSK Pain -- Psychological Aspects of Chronic MSK Pain -- Complex Regional Pain Syndrome and Chronic Widespread Pain -- Complex Regional Pain Syndrome -- Chronic Widespread Pain -- Diagnosing, Assessing and Treating Chronic Musculoskeletal Pain -- History-taking -- Assessment of Musculoskeletal Pain -- Treatment of Chronic Musculoskeletal Pain -- Pain Neuroscience Education -- Symptom Management -- Physiotherapy -- Graded Exercise -- Psychological Treatments -- Complementary Interventions -- Pharmacotherapy -- Treatment of Chronic Regional Pain Syndrome -- Intensive Multidisciplinary Pain Programmes -- Long-term Outcomes in CYP with Chronic Musculoskeletal Pain -- Summary -- Key to Case Study -- Part 1 -- Part 2 -- Part 3 -- Multiple Choice Questions -- Acknowledgement -- References -- Chapter 10 Preventing and Treating Chronic Headache Disorders in Children and Young People -- Definitions -- Chronic Daily Headache -- Chronic Migraine -- Tension-typeHeadache -- Symptoms of Chronic Migraine -- Severe Intermittent Headaches -- Continuous Background Headache -- Symptoms of Chronic Tension-type Headache -- Comorbidities Associated with Chronic Headache Disorders -- Impact of Headaches. ; Assessment of Pain in CYP with Headaches -- Psychological Assessment -- Management of Chronic Headache Disorders -- Education -- Lifestyle Modifications -- Preventive Medications -- Abortive Medications -- Psychological Interventions -- Physiotherapy and Other Physical Interventions -- Outcomes for CYP who Experience Chronic Headaches and Chronic Migraines -- Summary -- Key to Case Study -- Part 1 -- Part 2 -- Part 3 -- Multiple Choice Questions -- Acknowledgement -- References -- Chapter 11 Chronic Postsurgical Pain in Children and Young People -- Postsurgical Pain Trajectories and Impact -- Management of Chronic Postsurgical Pain -- Biopsychosocial Assessment and Formulation -- Treatment of Chronic Postsurgical Pain -- Pain Education -- Pharmacological Interventions -- Interventional Strategies -- Psychological Interventions -- Physical Interventions -- Prevention of Chronic Postsurgical Pain -- Summary -- Key to Case Study -- Part 1 -- Part 2 -- Multiple Choice Questions -- Acknowledgements -- References -- Chapter 12 Prevention and Management of Procedural Pain -- Procedural Pain -- Assessing Procedural Pain and Fear -- Assessment Methods -- Additional Assessment Considerations -- Screening for High Levels of Needle Fear -- Fears Related to Needle Procedures -- Screening for a History of Vasovagal Syncope (Fainting) -- Caregiver Distress -- Managing Procedural Pain -- General Overview and Considerations -- Physical Interventions -- Environmental Considerations -- Positioning -- Tactile Stimulation -- Additional Considerations: Fainting -- Procedural Interventions -- Psychological Interventions -- Preparatory Information -- Communication -- Distraction -- Relaxation Techniques -- Hypnosis -- Coping Statements -- Additional Considerations -- Pharmacological Interventions -- Local Anaesthetics -- Vapocoolants/Refrigerants -- Sweet-tasting Solutions. ; Oral Analgesics: Paracetamol (Acetaminophen) and Ibuprofen.
• Sommario/riassunto: Master paediatric pain management with precision This practical guide equips nurses and healthcare professionals with evidence-based skills to effectively manage children's pain. Explore assessment techniques, pain relief strategies, and best practices for both hospital and community settings, with a focus on core knowledge, advanced insights, clinical scenarios, and practical tips. The fully updated third edition includes an expanded procedural sedation section, enhanced coverage of capnography for respiratory monitoring, a new quality improvement sciences section, and additional online MCQs and self-assessment material. Written by experienced authors, with contributions from global experts, Managing Pain in Children and Young People covers: Why pain prevention and treatment are crucial Pain's biopsychosocial nature and pharmacology of analgesic drugs Acute nociceptive, neuropathic, and visceral pain management Chronic headaches, post-surgical pain, neonatal pain, and procedural pain Paediatric palliative care and pain management in low-income countries Drug-free pain relief methods and ethical considerations With a multidisciplinary focus, this essential resource is tailored for healthcare practitioners working with children and young people; including doctors, nurses, psychologists, and physiotherapists. This essential resource empowers you to provide the best possible care for young patients, helping them find comfort and relief in their journey towards healing.
• Altri titoli varianti: Managing Pain in Children and Young People
• Titolo autorizzato: Managing Pain in Children and Young People
• ISBN: 1-119-64568-9; 1-119-64564-6
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9911019462903321
• Lo trovi qui: Univ. Federico II