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Pain treatment in children

Diana Butković


Puni tekst: hrvatski pdf 1.553 Kb

str. 127-137

preuzimanja: 3.793

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Sažetak

Differences in anatomy, physiology and psychology between children and adults make paediatric pain treatment specific. Acute and chronic pain, malignant and non-malignant chronic pain, nociceptive and neuropathic pain also occur in childhood. The intensity of pain is measured by using scales appropriate for a child’s age and cognitive development. Acute pain in children has a protective function and its assessment is easy in emergency departments, and in postoperative, invasive diagnostic and therapeutic settings. The origin of chronic paediatric pain is both malignant and non-malignant; the latter has somatic, visceral and neuropathic components, originating from tumour progression and chemo- and irradiation therapy. Malignant pain is treated in line with the WHO’s three-step model, with titration, rotation and conversion of opioids. Chronic non-malignant pain includes musculoskeletal pain, tension and migrainous headaches, and neuropathic pain of different origins. Pharmacological and non-pharmacological pain treatment in children is based on pre-emptive and multimodal principles of therapy.

Ključne riječi

children; pain; assessment; treatment; acute; chronic; neuropathic; pre-emptive; multimodal

Hrčak ID:

127307

URI

https://hrcak.srce.hr/127307

Datum izdavanja:

24.9.2014.

Podaci na drugim jezicima: hrvatski

Posjeta: 5.461 *