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Pediatric Pain and Development of Pain Systems 

Pediatric Pain and Development of Pain Systems
Chapter:
Pediatric Pain and Development of Pain Systems
Author(s):

Ellen W. K. Rosenquist

and Natalie Strickland

DOI:
10.1093/med/9780190217518.003.0026
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date: 20 August 2019

The diagnosis and treatment of pain in the pediatric population is challenging because there is still much that is not understood about the development of pain systems in the human body. Many common pain syndromes manifest unique characteristics in the pediatric population that vary greatly from those in adults. In addition, pediatric treatments vary greatly from those used for adults and typically rely to a far greater degree on physical therapy or other nonpharmacologic treatments before resorting to pharmacologic or interventional therapies. Furthermore, there are many factors that must be taken into consideration when treating children, such as the child’s stage of development, pharmacokinetic and pharmacodynamic variables, caregiver concerns, psychosocial considerations, ethical considerations, and the ability of the child to describe his or her pain. This chapter highlights important topics to be considered when managing pain in pediatrics.

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