Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort.

This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.
Table of contents
Forward Charles B. Berde

Preface

Acknowledgements

I. General Considerations


Pain and the Primary Pediatric Practitioner--Gary A. Walco


Developmental Issues in Understanding, Assessing, and Managing Pediatric Pain--Kenneth D. Craig and Christine T. Korol


Measurement and Assessment of Pediatric Pain in Primary Care -- Carl L. von Baeyer


Pain Management for Children with a Developmental Disability in a Primary Care Setting Harold (Hal) Siden and Tim F. Oberlander


Remote Management of Pediatric Pain Paula A. Forgeron and Patrick McGrath

II. Acute Pain Management


Pain Management in the Primary Care Office: General Considerations and Specific Approaches--Neil L. Schechter


Topical Anesthetics and Office Based Procedures--William Zempsky


Analgesic Medications for Acute Pain Management in Children--John Barns Rose


Pain Management in the Emergency Department: A Primer for Primary Care Providers Michael K. Kim


Preparing Children for Invasive Procedures and Surgery--Ronald L. Blount, Megan L. McCormick, Jill E. MacLaren, and Zeev N. Kain


Pain Relief after Outpatient Surgery Robert T. Wilder and Kenneth R. Goldschneider


Regional Anesthesia Elliot J. Krane, Artee Gandhi, and R.J. Ramamurthi

III. Recurrent and Chronic Pain Management


How to Talk to Parents about Recurrent and Chronic Pain--Tonya M. Palermo and Carl L. von Baeyer


Multidisciplinary Approaches to Chronic Pain--Steven J. Weisman


Psychological Interventions for Chronic Pain--Susmita KashakarKashiakarKashakar-Zuck and Anne M. Lynch


Complementary and Alternative Approaches for Chronic Pain-- Subhadra Evans and Lonnie K. Zeltzer

IV. Common Recurrent and Chronic Pain Problems in Primary Care


Functional Abdominal Pain--Lisa Scharff and Laura E. Simons


Headaches--Navil F. Sethna and Alyssa A. Lebel


Evaluating and Managing Pediatric Musculoskeletal Pain in Primary Care Mark A. Connelly and Laura E. Schanberg


Pain in Sickle Cell Disease Carlton Dampier


Chronic Pelvic Pain Christine Greco

V. Special Topics


Palliative Care for the Primary Pediatric Practitioner--Norbert J. Weidner and Mark J. Meyer

Labeling of Pediatric Pain Medications--Hari Cheryl Sachs, Debbie Avant, and William Rodriguez


Pediatrician as Advocate Carol Schadelbauer

Conclusion: What to Do When There is Nothing to Do--Kenneth R. Goldschneider