- Preface to the Second Edition
- Symbols and abbreviations
- Chapter 1 Paediatric palliative medicine: philosophy and practice
- Chapter 2 Models of paediatric palliative care
- Chapter 3 Ethics in palliative care
- Chapter 4 Pain: introduction
- Chapter 5 Pain evaluation
- Chapter 6 Pain: step 3, major opioids
- Chapter 7 Adjuvants
- Chapter 8 Nausea and vomiting
- Chapter 9 Gastrointestinal symptoms
- Chapter 10 Mouth care, feeding, and hydration
- Chapter 11 Dyspnoea
- Chapter 12 Neurological symptoms
- Chapter 13 Psychological symptoms
- Chapter 14 Skin symptoms
- Chapter 15 Palliative care emergencies
- Chapter 16 Malignant diseases
- Chapter 17 Specific non-malignant diseases
- Chapter 18 Palliative care in intensive care environments
- Chapter 19 Practicalities around time of death
- Chapter 20 Religion and ritual
- Chapter 21 Bereavement
- Chapter 22 Communication skills
- Chapter 23 Communication amongst professionals
- Chapter 24 Coping skills
- Chapter 25 Education and training
- Chapter 26 Formulary
- Index
(p. 29) Pain: introduction
- Chapter:
- (p. 29) Pain: introduction
- Author(s):
Richard D.W. Hain
and Satbir Singh Jassal
- DOI:
- 10.1093/med/9780198745457.003.0004
Pain is a subjective and multidimensional phenomenon. Diagnosis, assessment, and evaluation of pain are all complicated in children by the range of diagnoses and developmental levels, and by cultural influences. This chapter summarizes definitions and classifications of pain, including total pain. It looks at ways that children express pain, and measurement of pain severity. Pharmacological treatment of pain is considered, alongside the World Health Organization pain guidelines, which are considered to be the basis of managing pain in palliative care.
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- Preface to the Second Edition
- Symbols and abbreviations
- Chapter 1 Paediatric palliative medicine: philosophy and practice
- Chapter 2 Models of paediatric palliative care
- Chapter 3 Ethics in palliative care
- Chapter 4 Pain: introduction
- Chapter 5 Pain evaluation
- Chapter 6 Pain: step 3, major opioids
- Chapter 7 Adjuvants
- Chapter 8 Nausea and vomiting
- Chapter 9 Gastrointestinal symptoms
- Chapter 10 Mouth care, feeding, and hydration
- Chapter 11 Dyspnoea
- Chapter 12 Neurological symptoms
- Chapter 13 Psychological symptoms
- Chapter 14 Skin symptoms
- Chapter 15 Palliative care emergencies
- Chapter 16 Malignant diseases
- Chapter 17 Specific non-malignant diseases
- Chapter 18 Palliative care in intensive care environments
- Chapter 19 Practicalities around time of death
- Chapter 20 Religion and ritual
- Chapter 21 Bereavement
- Chapter 22 Communication skills
- Chapter 23 Communication amongst professionals
- Chapter 24 Coping skills
- Chapter 25 Education and training
- Chapter 26 Formulary
- Index