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Pain in palliative care 

Pain in palliative care
Chapter:
Pain in palliative care
Author(s):

Ross Drake

and Renée McCulloch

DOI:
10.1093/med/9780199642656.003.0028
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date: 16 June 2019

Pain in palliative care for children is common and is often a result of different combinations of nociceptive (somatic and/or visceral) and neuropathic pain rather than being from a single aetiology. This pain is best addressed through a collaborative, interdisciplinary team employing a holistic approach to the child and their family. Medication, particularly opioids, has a central role in management but attempting to relieve pain without addressing the child’s non-physical concerns is likely to lead to frustration. The expectation should be for exemplary control of pain bearing in mind some of the syndromes faced can be complex and may require quite sophisticated techniques to be managed appropriately including the use of surgical and anaesthetic procedures.

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