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‘Total Pain’ in Children with Severe Neurological Impairment
Many children with palliative care needs experience difficulty in managing pain. Perhaps none more so than those with severe neurological impairment. For many years; behaviours in these children were misunderstood. As a result; pain was poorly recognised and inadequately managed. Significant advance...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789295/ https://www.ncbi.nlm.nih.gov/pubmed/29346304 http://dx.doi.org/10.3390/children5010013 |
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author | Warlow, Timothy A. Hain, Richard D.W. |
author_facet | Warlow, Timothy A. Hain, Richard D.W. |
author_sort | Warlow, Timothy A. |
collection | PubMed |
description | Many children with palliative care needs experience difficulty in managing pain. Perhaps none more so than those with severe neurological impairment. For many years; behaviours in these children were misunderstood. As a result; pain was poorly recognised and inadequately managed. Significant advances have been made in the assessment and management of pain in this challenging group of patients. We summarise these advances; drawing on our own experience working with infants; children and young adults with palliative care needs within a UK tertiary paediatric palliative care service. We expand on the recent understanding of ‘Total Pain’; applying a holistic approach to pain assessment and management in children with severe neurological impairment. |
format | Online Article Text |
id | pubmed-5789295 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-57892952018-02-02 ‘Total Pain’ in Children with Severe Neurological Impairment Warlow, Timothy A. Hain, Richard D.W. Children (Basel) Review Many children with palliative care needs experience difficulty in managing pain. Perhaps none more so than those with severe neurological impairment. For many years; behaviours in these children were misunderstood. As a result; pain was poorly recognised and inadequately managed. Significant advances have been made in the assessment and management of pain in this challenging group of patients. We summarise these advances; drawing on our own experience working with infants; children and young adults with palliative care needs within a UK tertiary paediatric palliative care service. We expand on the recent understanding of ‘Total Pain’; applying a holistic approach to pain assessment and management in children with severe neurological impairment. MDPI 2018-01-18 /pmc/articles/PMC5789295/ /pubmed/29346304 http://dx.doi.org/10.3390/children5010013 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Warlow, Timothy A. Hain, Richard D.W. ‘Total Pain’ in Children with Severe Neurological Impairment |
title | ‘Total Pain’ in Children with Severe Neurological Impairment |
title_full | ‘Total Pain’ in Children with Severe Neurological Impairment |
title_fullStr | ‘Total Pain’ in Children with Severe Neurological Impairment |
title_full_unstemmed | ‘Total Pain’ in Children with Severe Neurological Impairment |
title_short | ‘Total Pain’ in Children with Severe Neurological Impairment |
title_sort | ‘total pain’ in children with severe neurological impairment |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789295/ https://www.ncbi.nlm.nih.gov/pubmed/29346304 http://dx.doi.org/10.3390/children5010013 |
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