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 on topics common to practitioners caring for children with lifelimiting illnesses, including a review of myths and obstacles to achieving adequate pain control, a review of the pathophysiology of pain, an overview of the use of opioids in children, an approach to the management of neuropathic pain, and a brief discussion of nonpharmacologic pain management strategies.
aPain and Palliative Care, Children's Hospitals and Clinics of Minnesota, 2525 Chicago Avenue South, Minneapolis, MN 55404, USA
bDivision of Oncology, Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, 4314 Wood Building, Philadelphia, PA 19104, USA
cThe Pediatric Advanced Care Team, Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA
Corresponding author. Division of Oncology, Children's Hospital of Philadelphia, 34th and Civic Center Boulevard, 4314 Wood Building, Philadelphia, PA 19104.
ABSTRACT