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Managing Pain in Children : A Clinical Guide for Nurses and Healthcare Professionals
| Managing Pain in Children : A Clinical Guide for Nurses and Healthcare Professionals |
| Autore | Twycross Alison |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Hoboken : , : John Wiley & Sons, Incorporated, , 2013 |
| Descrizione fisica | 1 online resource (314 pages) |
| Disciplina | 618.920472 |
| Altri autori (Persone) |
DowdenStephanie
StinsonJennifer |
| Soggetto topico | Pain Management - nursing |
| Soggetto genere / forma | Electronic books. |
| ISBN |
9781118514634
9780470670545 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Cover -- Title page -- Copyright page -- Contents -- List of Contributors -- Foreword -- CHAPTER 1: Why Managing Pain in Children Matters -- Introduction -- What is Pain? -- Consequences of Unrelieved Pain -- Children's Views about the Effectiveness of Pain Management -- Misconceptions about Pain -- Factors Affecting Healthcare Professionals' Perceptions of Pain -- Pain Management Standards -- How Effective are Current Pain Management Practices? -- Professional Accountability and Evidence-Based Practice -- Managing Pain in Children is an Ethical Imperative -- Summary -- References -- CHAPTER 2: Anatomy and Physiology of Pain -- Introduction -- The Nervous System -- Misconceptions about the Physiology of Pain in Children -- Pain Mechanisms -- Transduction: The conversion of stimuli to electrical impulses -- Transmission: Conveying impulses to the central nervous system -- Perception -- Modulation -- Visceral Pain -- Physiology of Chronic and Neuropathic Pain -- Central sensitisation in chronic pain -- Nervous System Development and Pain Sensation in Early Life -- Summary -- References -- CHAPTER 3: Pain: A Biopsychosocial Phenomenon -- Introduction -- Biological Factors -- Age -- Cognitive development -- Genetics -- Temperament -- Psychological Factors -- Fear -- Previous experiences of pain -- Social Factors -- Culture -- Family learning -- Gender -- Summary -- References -- CHAPTER 4: Pharmacology of Analgesic Drugs -- Introduction -- Misconceptions -- Addiction, Tolerance and Dependence -- Addiction risk -- Opioid weaning protocols -- How Drugs Work -- Pharmacodynamics -- Pharmacokinetics -- Routes of Drug Administration -- Selection of Analgesic Drugs -- WHO analgesic ladder -- Non-Opioid Analgesic Drugs -- Paracetamol (acetaminophen) -- Nonsteroidal anti-inflammatory drugs -- Opioid Analgesic Drugs -- Tramadol -- Opioid antagonists.
Adjuvant Analgesic Drugs -- Local anaesthetics -- Ketamine -- Other adjuvant analgesic drugs -- Managing and Minimising the Non-Medical Use of Opioids -- Summary -- References -- CHAPTER 5: Physical and Psychological Methods of Pain Relief in Children -- Introduction -- Physical Pain-Relieving Methods -- Acupuncture -- Heat and cold -- Massage -- Psychological Pain-Relieving Methods -- Biofeedback -- Cognitive behavioural therapy -- Distraction -- Hypnosis -- Music therapy -- Relaxation -- Physical Methods of Pain Relief for Neonates -- Breastfeeding -- Facilitated tucking (or containment) -- Kangaroo care (skin-to-skin contact) -- Non-nutritive sucking -- Sucrose -- Swaddling -- Summary -- References -- CHAPTER 6: Pain Assessment -- Introduction -- Healthcare Professionals' Role in Pain Assessment -- Pain Measurement and Pain Assessment -- Assessing Pain in Children -- Step 1: Taking a pain history -- Step 2: Assessing the child's pain using an developmentally appropriate pain assessment tool -- Self-report tools -- Behavioural tools -- Physiological indicators -- Pain Assessment Tools for Neonates -- Pain Assessment in Ventilated Children -- Pain Assessment in Cognitively Delayed Children -- Choosing the Right Pain Assessment Tool -- How Often Should Pain be Assessed? -- Documentation -- Summary -- Key to Case Studies -- References -- CHAPTER 7: Managing Acute Pain in Children -- Introduction -- What is Acute Pain? -- Causes of Acute Pain in Childhood -- Injury -- Childhood illnesses -- Surgery/medical investigations -- Medical conditions -- Developmental disabilities -- Pain Assessment -- Physical and Psychological Interventions -- Pharmacological Interventions -- Non-opioids -- Opioids -- Local anaesthetics -- Regional anaesthesia -- Pain Management Guidelines -- Aims of Pain Management -- World Health Organization (WHO) analgesic ladder. Pain management in the community setting -- Pain management in the hospital setting -- Suggested Pain Management Regimes for Acute Pain -- Non-opioid analgesia -- Opioid analgesia -- Patient-controlled analgesia -- Other analgesic infusions -- Optimising the Safety of Analgesic Drugs -- Managing Adverse Effects of Opioids -- Sedation/respiratory depression -- Nausea and vomiting -- Urinary retention -- Pruritus (itch) -- Constipation -- Regional Anaesthesia -- Central blocks -- Peripheral blocks -- Optimising the Safety of Regional Anaesthesia -- Best practice management for regional analgesia -- Problem solving -- Complications of Regional Anaesthesia -- Pain Problem-Solving -- Transition to Oral Analgesics -- Weaning PCA -- Weaning regional anaesthesia infusions -- Pain medications at home -- Summary -- Key to Case Studies -- References -- CHAPTER 8: Chronic Pain in Children -- Introduction -- What is Chronic Pain? -- How Common is Chronic Pain in Children? -- Aetiology or Causes of Chronic Pain -- Common Chronic Pain Conditions in Children and Adolescents -- Headache -- Chronic abdominal pain -- Musculoskeletal pain -- Neuropathic pain -- Common Types of Neuropathic Pain Conditions -- Complex regional pain syndrome -- Phantom limb pain -- Pain Associated with Sickle Cell Disease -- Factors Triggering and Maintaining Chronic Pain -- Pain-Related Disability -- The Impact of Chronic Pain on the Child and Family -- The Cost of Chronic Pain -- Management of Chronic Pain -- Physical and psychological methods of pain relief -- Physical pain-relieving interventions -- Psychological therapies -- Sleep hygiene -- Complementary and alternative medicine -- Pharmacological interventions -- Invasive therapies -- Multidisciplinary approach -- Chronic pain clinics -- Long-term outcomes -- Summary -- Key to Case Studies -- References. CHAPTER 9: Palliative Care in Children -- Introduction -- What is Palliative Care? -- What is Paediatric Palliative Care? -- Death in Childhood -- Causes of death in childhood -- Where do children die? -- How Many Children Need Palliative Care? -- Conditions Requiring Paediatric Palliative Care -- Where is Palliative Care for Children Delivered? -- Challenges of home-based palliative care -- When Should Palliative Care be Implemented? -- Evidence Base for Palliative Care -- Research priorities in paediatric palliative care -- Quality in Palliative Care -- Symptoms in Children Receiving Palliative Care -- Pain and Symptom Management -- Types of pain seen in PPC -- Pain Assessment -- Frequency of pain assessment -- Choosing pain-relieving interventions -- Managing Pain in Palliative Care -- Management of intermittent/episodic pain -- Management of persistent pain -- Managing common opioid adverse drug effects -- Managing breakthrough pain -- Adjusting analgesia regimes -- Pain crisis -- Opioid rotation or switching -- Intractable pain and palliative sedation -- Other Pain-Relieving Interventions -- Management of Non-Pain Symptoms -- Assessing non-pain symptoms -- When to treat non-pain symptoms -- Physical and Psychological Methods to Relieve Pain and Other Distressing Symptoms -- Misconceptions Relating to Paediatric Palliative Care -- Ethical and Legal Issues in Paediatric Palliative Care -- Futility in medical management -- Euthanasia versus double effect -- End-of-Life Care -- Causes of pain and distressing symptoms at EOL -- Diagnosing dying -- Management of dying -- After Death -- Family bereavement care -- Staff support -- Summary -- Key to Case Studies -- References -- CHAPTER 10: Management of Painful Procedures -- Introduction -- Procedure-Related Pain: Definition and Prevalence -- Why is it Important to Manage Procedural Pain Effectively?. Factors that Influence a Child's Response to Painful Procedures -- Managing Procedural Pain: General Principles -- Before the procedure -- During the procedure -- After the procedure -- Using Nitrous Oxide to Manage Procedural Pain -- Using Sedation to Manage Procedural Pain -- Issues Relating to the Management of Specific Types of Procedural Pain -- Needle-related pain -- Topical local anaesthetics -- Cryotherapy -- Pain related to burn wound care -- Pain related to cancer investigations -- Pain related to immunisations -- Procedural pain management in neonates -- Summary -- Key to Case Studies -- References -- CHAPTER 11: Where To From Here? -- Introduction -- Reasons for Suboptimal Practices -- Knowledge deficits -- Beliefs about pain in children -- Decision-making strategies -- Organisational culture -- The Way Forward: Using a Knowledge Translation Model as a Framework for Improving Practice -- Evidence -- Context -- Facilitating change -- Researching Children's Pain -- Areas for Future Research -- Summary -- References -- Index. |
| Record Nr. | UNINA-9910795808503321 |
Twycross Alison
|
||
| Hoboken : , : John Wiley & Sons, Incorporated, , 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
Managing Pain in Children : A Clinical Guide for Nurses and Healthcare Professionals
| Managing Pain in Children : A Clinical Guide for Nurses and Healthcare Professionals |
| Autore | Twycross Alison |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Hoboken : , : John Wiley & Sons, Incorporated, , 2013 |
| Descrizione fisica | 1 online resource (314 pages) |
| Disciplina | 618.920472 |
| Altri autori (Persone) |
DowdenStephanie
StinsonJennifer |
| Soggetto topico | Pain Management - nursing |
| ISBN |
9781118514634
9780470670545 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Cover -- Title page -- Copyright page -- Contents -- List of Contributors -- Foreword -- CHAPTER 1: Why Managing Pain in Children Matters -- Introduction -- What is Pain? -- Consequences of Unrelieved Pain -- Children's Views about the Effectiveness of Pain Management -- Misconceptions about Pain -- Factors Affecting Healthcare Professionals' Perceptions of Pain -- Pain Management Standards -- How Effective are Current Pain Management Practices? -- Professional Accountability and Evidence-Based Practice -- Managing Pain in Children is an Ethical Imperative -- Summary -- References -- CHAPTER 2: Anatomy and Physiology of Pain -- Introduction -- The Nervous System -- Misconceptions about the Physiology of Pain in Children -- Pain Mechanisms -- Transduction: The conversion of stimuli to electrical impulses -- Transmission: Conveying impulses to the central nervous system -- Perception -- Modulation -- Visceral Pain -- Physiology of Chronic and Neuropathic Pain -- Central sensitisation in chronic pain -- Nervous System Development and Pain Sensation in Early Life -- Summary -- References -- CHAPTER 3: Pain: A Biopsychosocial Phenomenon -- Introduction -- Biological Factors -- Age -- Cognitive development -- Genetics -- Temperament -- Psychological Factors -- Fear -- Previous experiences of pain -- Social Factors -- Culture -- Family learning -- Gender -- Summary -- References -- CHAPTER 4: Pharmacology of Analgesic Drugs -- Introduction -- Misconceptions -- Addiction, Tolerance and Dependence -- Addiction risk -- Opioid weaning protocols -- How Drugs Work -- Pharmacodynamics -- Pharmacokinetics -- Routes of Drug Administration -- Selection of Analgesic Drugs -- WHO analgesic ladder -- Non-Opioid Analgesic Drugs -- Paracetamol (acetaminophen) -- Nonsteroidal anti-inflammatory drugs -- Opioid Analgesic Drugs -- Tramadol -- Opioid antagonists.
Adjuvant Analgesic Drugs -- Local anaesthetics -- Ketamine -- Other adjuvant analgesic drugs -- Managing and Minimising the Non-Medical Use of Opioids -- Summary -- References -- CHAPTER 5: Physical and Psychological Methods of Pain Relief in Children -- Introduction -- Physical Pain-Relieving Methods -- Acupuncture -- Heat and cold -- Massage -- Psychological Pain-Relieving Methods -- Biofeedback -- Cognitive behavioural therapy -- Distraction -- Hypnosis -- Music therapy -- Relaxation -- Physical Methods of Pain Relief for Neonates -- Breastfeeding -- Facilitated tucking (or containment) -- Kangaroo care (skin-to-skin contact) -- Non-nutritive sucking -- Sucrose -- Swaddling -- Summary -- References -- CHAPTER 6: Pain Assessment -- Introduction -- Healthcare Professionals' Role in Pain Assessment -- Pain Measurement and Pain Assessment -- Assessing Pain in Children -- Step 1: Taking a pain history -- Step 2: Assessing the child's pain using an developmentally appropriate pain assessment tool -- Self-report tools -- Behavioural tools -- Physiological indicators -- Pain Assessment Tools for Neonates -- Pain Assessment in Ventilated Children -- Pain Assessment in Cognitively Delayed Children -- Choosing the Right Pain Assessment Tool -- How Often Should Pain be Assessed? -- Documentation -- Summary -- Key to Case Studies -- References -- CHAPTER 7: Managing Acute Pain in Children -- Introduction -- What is Acute Pain? -- Causes of Acute Pain in Childhood -- Injury -- Childhood illnesses -- Surgery/medical investigations -- Medical conditions -- Developmental disabilities -- Pain Assessment -- Physical and Psychological Interventions -- Pharmacological Interventions -- Non-opioids -- Opioids -- Local anaesthetics -- Regional anaesthesia -- Pain Management Guidelines -- Aims of Pain Management -- World Health Organization (WHO) analgesic ladder. Pain management in the community setting -- Pain management in the hospital setting -- Suggested Pain Management Regimes for Acute Pain -- Non-opioid analgesia -- Opioid analgesia -- Patient-controlled analgesia -- Other analgesic infusions -- Optimising the Safety of Analgesic Drugs -- Managing Adverse Effects of Opioids -- Sedation/respiratory depression -- Nausea and vomiting -- Urinary retention -- Pruritus (itch) -- Constipation -- Regional Anaesthesia -- Central blocks -- Peripheral blocks -- Optimising the Safety of Regional Anaesthesia -- Best practice management for regional analgesia -- Problem solving -- Complications of Regional Anaesthesia -- Pain Problem-Solving -- Transition to Oral Analgesics -- Weaning PCA -- Weaning regional anaesthesia infusions -- Pain medications at home -- Summary -- Key to Case Studies -- References -- CHAPTER 8: Chronic Pain in Children -- Introduction -- What is Chronic Pain? -- How Common is Chronic Pain in Children? -- Aetiology or Causes of Chronic Pain -- Common Chronic Pain Conditions in Children and Adolescents -- Headache -- Chronic abdominal pain -- Musculoskeletal pain -- Neuropathic pain -- Common Types of Neuropathic Pain Conditions -- Complex regional pain syndrome -- Phantom limb pain -- Pain Associated with Sickle Cell Disease -- Factors Triggering and Maintaining Chronic Pain -- Pain-Related Disability -- The Impact of Chronic Pain on the Child and Family -- The Cost of Chronic Pain -- Management of Chronic Pain -- Physical and psychological methods of pain relief -- Physical pain-relieving interventions -- Psychological therapies -- Sleep hygiene -- Complementary and alternative medicine -- Pharmacological interventions -- Invasive therapies -- Multidisciplinary approach -- Chronic pain clinics -- Long-term outcomes -- Summary -- Key to Case Studies -- References. CHAPTER 9: Palliative Care in Children -- Introduction -- What is Palliative Care? -- What is Paediatric Palliative Care? -- Death in Childhood -- Causes of death in childhood -- Where do children die? -- How Many Children Need Palliative Care? -- Conditions Requiring Paediatric Palliative Care -- Where is Palliative Care for Children Delivered? -- Challenges of home-based palliative care -- When Should Palliative Care be Implemented? -- Evidence Base for Palliative Care -- Research priorities in paediatric palliative care -- Quality in Palliative Care -- Symptoms in Children Receiving Palliative Care -- Pain and Symptom Management -- Types of pain seen in PPC -- Pain Assessment -- Frequency of pain assessment -- Choosing pain-relieving interventions -- Managing Pain in Palliative Care -- Management of intermittent/episodic pain -- Management of persistent pain -- Managing common opioid adverse drug effects -- Managing breakthrough pain -- Adjusting analgesia regimes -- Pain crisis -- Opioid rotation or switching -- Intractable pain and palliative sedation -- Other Pain-Relieving Interventions -- Management of Non-Pain Symptoms -- Assessing non-pain symptoms -- When to treat non-pain symptoms -- Physical and Psychological Methods to Relieve Pain and Other Distressing Symptoms -- Misconceptions Relating to Paediatric Palliative Care -- Ethical and Legal Issues in Paediatric Palliative Care -- Futility in medical management -- Euthanasia versus double effect -- End-of-Life Care -- Causes of pain and distressing symptoms at EOL -- Diagnosing dying -- Management of dying -- After Death -- Family bereavement care -- Staff support -- Summary -- Key to Case Studies -- References -- CHAPTER 10: Management of Painful Procedures -- Introduction -- Procedure-Related Pain: Definition and Prevalence -- Why is it Important to Manage Procedural Pain Effectively?. Factors that Influence a Child's Response to Painful Procedures -- Managing Procedural Pain: General Principles -- Before the procedure -- During the procedure -- After the procedure -- Using Nitrous Oxide to Manage Procedural Pain -- Using Sedation to Manage Procedural Pain -- Issues Relating to the Management of Specific Types of Procedural Pain -- Needle-related pain -- Topical local anaesthetics -- Cryotherapy -- Pain related to burn wound care -- Pain related to cancer investigations -- Pain related to immunisations -- Procedural pain management in neonates -- Summary -- Key to Case Studies -- References -- CHAPTER 11: Where To From Here? -- Introduction -- Reasons for Suboptimal Practices -- Knowledge deficits -- Beliefs about pain in children -- Decision-making strategies -- Organisational culture -- The Way Forward: Using a Knowledge Translation Model as a Framework for Improving Practice -- Evidence -- Context -- Facilitating change -- Researching Children's Pain -- Areas for Future Research -- Summary -- References -- Index. |
| Record Nr. | UNINA-9910823094003321 |
|
Twycross Alison
|
||
| Hoboken : , : John Wiley & Sons, Incorporated, , 2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
| ||
