Cargando…

Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids

Opioid therapy is the cornerstone of treatment for acute procedural and postoperative pain and is regularly prescribed for severe and debilitating chronic pain conditions. Although beneficial for many patients, opioid therapy may have side effects, limited efficacy, and potential negative outcomes....

Descripción completa

Detalles Bibliográficos
Autores principales: Wren, Anava A., Ross, Alexandra C., D’Souza, Genevieve, Almgren, Christina, Feinstein, Amanda, Marshall, Amanda, Golianu, Brenda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406753/
https://www.ncbi.nlm.nih.gov/pubmed/30795645
http://dx.doi.org/10.3390/children6020033
_version_ 1783401395116834816
author Wren, Anava A.
Ross, Alexandra C.
D’Souza, Genevieve
Almgren, Christina
Feinstein, Amanda
Marshall, Amanda
Golianu, Brenda
author_facet Wren, Anava A.
Ross, Alexandra C.
D’Souza, Genevieve
Almgren, Christina
Feinstein, Amanda
Marshall, Amanda
Golianu, Brenda
author_sort Wren, Anava A.
collection PubMed
description Opioid therapy is the cornerstone of treatment for acute procedural and postoperative pain and is regularly prescribed for severe and debilitating chronic pain conditions. Although beneficial for many patients, opioid therapy may have side effects, limited efficacy, and potential negative outcomes. Multidisciplinary pain management treatments incorporating pharmacological and integrative non-pharmacological therapies have been shown to be effective in acute and chronic pain management for pediatric populations. A multidisciplinary approach can also benefit psychological functioning and quality of life, and may have the potential to reduce reliance on opioids. The aims of this paper are to: (1) provide a brief overview of a multidisciplinary pain management approach for pediatric patients with acute and chronic pain, (2) highlight the mechanisms of action and evidence base of commonly utilized integrative non-pharmacological therapies in pediatric multidisciplinary pain management, and (3) explore the opioid sparing effects of multidisciplinary treatment for pediatric pain.
format Online
Article
Text
id pubmed-6406753
institution National Center for Biotechnology Information
language English
publishDate 2019
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-64067532019-03-13 Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids Wren, Anava A. Ross, Alexandra C. D’Souza, Genevieve Almgren, Christina Feinstein, Amanda Marshall, Amanda Golianu, Brenda Children (Basel) Review Opioid therapy is the cornerstone of treatment for acute procedural and postoperative pain and is regularly prescribed for severe and debilitating chronic pain conditions. Although beneficial for many patients, opioid therapy may have side effects, limited efficacy, and potential negative outcomes. Multidisciplinary pain management treatments incorporating pharmacological and integrative non-pharmacological therapies have been shown to be effective in acute and chronic pain management for pediatric populations. A multidisciplinary approach can also benefit psychological functioning and quality of life, and may have the potential to reduce reliance on opioids. The aims of this paper are to: (1) provide a brief overview of a multidisciplinary pain management approach for pediatric patients with acute and chronic pain, (2) highlight the mechanisms of action and evidence base of commonly utilized integrative non-pharmacological therapies in pediatric multidisciplinary pain management, and (3) explore the opioid sparing effects of multidisciplinary treatment for pediatric pain. MDPI 2019-02-21 /pmc/articles/PMC6406753/ /pubmed/30795645 http://dx.doi.org/10.3390/children6020033 Text en © 2019 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
Wren, Anava A.
Ross, Alexandra C.
D’Souza, Genevieve
Almgren, Christina
Feinstein, Amanda
Marshall, Amanda
Golianu, Brenda
Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title_full Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title_fullStr Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title_full_unstemmed Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title_short Multidisciplinary Pain Management for Pediatric Patients with Acute and Chronic Pain: A Foundational Treatment Approach When Prescribing Opioids
title_sort multidisciplinary pain management for pediatric patients with acute and chronic pain: a foundational treatment approach when prescribing opioids
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406753/
https://www.ncbi.nlm.nih.gov/pubmed/30795645
http://dx.doi.org/10.3390/children6020033
work_keys_str_mv AT wrenanavaa multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT rossalexandrac multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT dsouzagenevieve multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT almgrenchristina multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT feinsteinamanda multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT marshallamanda multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids
AT golianubrenda multidisciplinarypainmanagementforpediatricpatientswithacuteandchronicpainafoundationaltreatmentapproachwhenprescribingopioids