Managing Pain in Children A Clinical Guide for Nurses and Healthcare Professionals

Providing an evidence-based, practical guide to care in all areas of children's pain management, Managing Pain in Children offers nurses and other healthcare professionals an introduction to the skills and expertise to manage children's pain effectively.

This fully-updated second edition first explores the relevant anatomy and physiology of children, the latest policy guidelines surrounding pain management and ethical issues involved in managing children's pain. Various pain assessment tools available for children and non-drug methods of pain relief are then explored and applied to practice in relation to acute pain, chronic pain, palliative care and the management of procedural pain.

The evidence base, assessment techniques, pain-relieving interventions, and guidance for best practice in both hospital and community settings are covered throughout, making this title an ideal resource for all nurses and healthcare professionals working with children.

Alison Twycross is Head of Department of Children's Nursing and Reader in Children's Nursing, London South Bank University, London, UK.

Stephanie Dowden is Clinical Nurse Consultant (CNC) for Paediatric Palliative Care at Princess Margaret Hospital for Children in Perth, Western Australia. Prior to this she was CNC in paediatric pain management at the Royal Children’s Hospital in Melbourne Australia.

Jennifer Stinson is Post-Doctorial Research Fellow and Advanced Practice Nurse for the Chronic Pain Programme at The Hospital for Sick Children in Toronto, Ontario, Canada.

List of Contributors vi

Foreword vii
Professor Patrick J McGrath

1 Why Managing Pain in Children Matters 1
Alison Twycross and Anna Williams

2 Anatomy and Physiology of Pain 18
Jackie Bentley

3 Pain: A Biopsychosocial Phenomenon 36
Alison Twycross and Anna Williams

4 Pharmacology of Analgesic Drugs 48
Stephanie Dowden

5 Physical and Psychological Methods of Pain Relief in Children 86
Alison Twycross and Jennifer Stinson

6 Pain Assessment 112
Jennifer Stinson and Lindsay Jibb

7 Managing Acute Pain in Children 140
Sueann Penrose, Lori Palozzi and Stephanie Dowden

8 Chronic Pain in Children 179
Jennifer Stinson and Kathy Reid

9 Palliative Care in Children 212
Stephanie Dowden

10 Management of Painful Procedures 246
Kathy Reid, Alison Twycross and Dianne Tuterra

11 Where To From Here? 272
Alison Twycross and Jennifer Stinson

Index 292

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