Managing Pain in Children and Young People

A Clinical Guide
Herausgegeben:Twycross, Alison; Stinson, Jennifer; Zempsky, William; Jordan, Abbie

• Broschiertes Buch

Produktbeschreibung

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.

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Produktdetails

• Verlag: Wiley & Sons / Wiley-Blackwell
• Artikelnr. des Verlages: 1W119645320
• 3. Aufl.
• Seitenzahl: 352
• Erscheinungstermin: 2. Mai 2024
• Englisch
• Abmessung: 203mm x 254mm x 21mm
• Gewicht: 770g
• ISBN-13: 9781119645320
• ISBN-10: 1119645328
• Artikelnr.: 70049643

Autorenporträt

Alison Twycross is Former Deputy Dean and Professor of Children's Nursing; Honorary Associate Professor, School of Nursing and Midwifery, University of Birmingham, UK. Jennifer Stinson is Mary Jo Haddad Nursing Chair in Child Health; Nurse Practitioner, Chronic Pain Program; The Hospital for Sick Children, Toronto, Canada, and Professor, Faculty of Nursing, University of Toronto, Canada. William T. Zempsky, MD, MPH is the Francine L. and Robert B. Goldfarb-William T. Zempsky, MD Endowed Chair for Pain and Palliative Medicine, Vice Chair for Academic Affairs and Research at Connecticut Children's Medical Center, as well as Professor of Pediatrics at University of Connecticut School of Medicine, USA. Abbie Jordan is a Reader in the Department of Psychology and member of the Centre for Pain Research at the University of Bath, UK.

Inhaltsangabe

Contributors xx

Foreword xxiii

Acknowledgements xxiv

1 Introduction 1
Alison Twycross

Multimodal Pain Management 1

References 6

2 Why Treating and Preventing Pain Matters 8
Nicole E MacKenzie, Perri R Tutelman, Christine T Chambers, and Kathryn A Birnie

What is Pain? 8

Nociceptive Pain 9

Chronic Pain 9

What is Unique about Pain in Children and Young People? 10

The Historical Context of Children and Young People's Pain 10

The Current Context of Children and Young People's Pain 12

Consequences of Undermanaged Pain in Children and Young People 14

Ethical Imperative of Managing Pain in Children 14

Summary 16

Multiple Choice Questions 16

References 17

3 Anatomy and Physiology of Pain 21
Charlie H.T Kwok and Tuan Trang

What is Pain? 21

The Nervous System 21

Pain Mechanisms 21

Gate Control Theory of Pain 27

Neuromatrix Theory of Pain 27

Biopsychosical Theory of Pain 28

Central Sensitisation in Chronic Pain 29

Nociceptive Pain 30

Visceral Pain 30

Neuropathic Pain 31

Chronic Postsurgical Pain 31

Physiology of Pain in Children and Young People 31

Postnatal Development of Pain Processing 32

Summary 34

Multiple Choice Questions 34

Acknowledgements 35

References 35

4 Pain: A Biopsychosocial Phenomenon 37
Line Caes, Paula Forgeron, and Liesbet Goubert

Introduction 37

Nociception 37

Biological Factors 38

Psychological Factors 41

Social Factors 43

Summary 45

Multiple Choice Questions 45

References 46

5 Pharmacology of Analgesics 50
Janice E Sumpton

How Drugs Work 50

Routes of Drug Administration 53

Medication Challenges in Infants, Children and Young People 53

Selection of analgesics 55

Summary 67

Multiple Choice Questions 67

Acknowledgements 68

Useful Web Resources 68

References 68

6 Pain Assessment 73
Lindsay Jibb and Jennifer Stinson

Pain Measurement and Pain Assessment 73

Assessing Pain in Children and Young People 73

Pain Assessment Tools for Neonates 84

Pain Assessment in Ventilated CYP 85

Pain Assessment in CYP with Learning Disabilities 85

Ruling Out Delirium, Withdrawal and Other Non-pain Pathologies when Assessing Pain 86

Choosing the Right Pain Assessment Tool 87

How Often Should Pain be Assessed? 89

Documentation 89

Summary 89

Acknowledgements 89

Multiple Choice Questions 90

References 90

7 Preventing and Treating Nociceptive Pain 94
Sueann Penrose and Cate Sinclair

What is Nociceptive Pain? 94

Causes of Nociceptive Pain in Children and Young People 94

Managing Nociceptive Pain 96

Pain Assessment 96

Pain Management in the Hospital Setting 97

Pharmacological Pain-relieving Interventions 97

Analgesic Administration Techniques 104

Pain Problem-solving: What to Do if the Pain Management Plan Is Not Working 115

Transition to Oral Analgesics from Specialist Analgesic Techniques 115

Pain Medications at Home 115

Psychological Pain-relieving Interventions 117

Physical Pain-relieving Interventions 118

Spirituality and Nociceptive Pain in Children and Young People 118
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