Handbook of Pediatric Chronic Pain

The purpose of this text is to provide not only the science and current knowledge of pediatric pain management but a rationale for intervention. The book is ground-breaking in that it provides pearls for the recognition and management of multiple childhood chronic pain syndromes. Also, uncommon yet confounding issues such as pain management for epidermolysis bullosa are adequately addressed. Concerns unique to pediatric patients are reviewed. While there are no firm standards in pediatric chronic pain, a care plan is offered to help guide practitioners when possible.

The book will consist of 24 chapters, many co-written by a physician and a psychologist. Chapter 1 covers the history of pediatric chronic pain, the advancement pediatric pain as a clinical subspecialty, development of pediatric pain clinics, and characterization of the common pain syndromes. Chapters 2-4 cover, respectively, the research on early pain exposure and neuroplasticity, theories on the common adolescent pain syndromes, and the demographics of chronic pain in children. Chapters 5-16 discuss approaches to assessment and intervention for specific pediatric and adolescent pain syndromes. Chapters 17-23 address interventional techniques such as therapeutic blocks, neurablation, implantable systems, physical therapy, complementary therapy, and pharmacology including opioid tolerance. The final chapter discusses the role of the nurse practitioner in pediatric chronic pain.

Science of chronic pain in children is balanced by practical care plans and algorithms Rationales for treatment are guided by up-to-date reviews and exhaustive references Highly comprehensive, including many "pearls" in the recognition and management of childhood chronic pain syndromes Includes supplementary material: sn.pub/extras

Autorentext
Dr. Brenda C. McClain is the director of Pediatric Pain Management Services at Yale New Haven Children's Hospital. She is a member of the International Association for the Study of Pain, the American Pain Society, and the American Board of Pain Medicine (ABPM). She is a national and international speaker on various topics within pediatric pain. Her current research is on the use of NMDA receptor antagonists in acute and chronic pediatric pain. She is a fellow of the American Academy of PediatricsAnesthesiology Section and is certified in pain management by the American Board of Anesthesiology and in pain medicine by the ABPM. Dr. Suresh is an Associate Professor of Anesthesiology and Pediatrics and is co-director of the Pain Program at Children's Memorial Hospital of Chicago. Dr. Suresh is nationally renown for his expertise in regional anesthesia and has contributed to the popular NYSORA website on pediatric regional techniques. His current research is on neuroplasticity in relation to pediatric pain syndromes and their management.

Klappentext

Pediatric Chronic Pain Current Science and Integrative Practice Brenda McClain and Santhanam Suresh, editors

In contrast to the days when children were thought to experience less pain than adults, we now know that this is not the case and that prolonged exposure to pain may predispose children to chronic pain syndromes later in life. For these reasons, pain management has become an essential part of pediatric care. Pediatric Chronic Painreflects current advances in the field, offering the pediatric specialist a comprehensive evidence base for the understanding, accurate assessment, and developmentally appropriate treatment of pain in children, from neonates to adolescents. The work of respected physicians and psychologists, this practical guide provides definitive information on frequently encountered syndromes, assessment tools, a wide range of mainstream and complementary intervention strategies (with special attention to opioid tolerance and tapers), and palliative care. Its groundbreaking coverage:

• Reviews the epidemiology of chronic pain in children and the history of its management.
• Features in-depth discussion of pediatric musculoskeletal, abdominal, and pelvic pain syndromes, cancer, sickle cell anemia, and headaches.
• Includes a concise guide to radiological imaging and other assessment modalities
• Offers treatment rationales based on cutting-edge research.
• Examines the spectrum of interventive techniques, including therapeutic blocks, implantable systems, physical therapy, pharmacotherapy, and complementary methods.

• Clarifies the role of the nurse practitioner in managing chronic pain in children and adolescentsPediatric Chronic Pain will be a trusted daily reference for child psychologists, psychiatrists, and neurologists; medical and health psychologists inpediatric/adolescent settings; pediatric surgeons; and pediatricians, especially those with subspecialty training in neurology, hematology-oncology, and rheumatology.

  Inhalt

1.**The Epidemiology of Pediatric Chronic Pain**

2. Research on Impact of Early Pain Exposure and Neuroplasticity****

3. Theories on the Common Adolescent Pain Syndromes****

4. Demographics of Chronic Pain in Children****

5. Assessment Tools in Chronic Pain: Specificity and Validity****

6. Psychological Assessment and Longitudinal Impact of Chronic Pain****

7. Clinical Management of Musculoskeletal Pain Syndromes

8. Clinical Management of Functional Abdominal Pain****

9. Chronic and Recurrent Pelvic Pain****

10. Etiologies and Clinical Management of Headache****

11. Sickle cell disease****

12. Palliative Care: Throughout the Continuum****

13. Cancer related Pain in Childhood****

14. Radiological Imaging in Pediatric Pain****

15. Interventional Techniques in Pediatric Chronic Pain****

16. Physical Therapy ****

17. Complementary Therapy in Children****

18. Complementary Therapy in Children****

19. Pharmacology of Pediatric Chronic Pain Management****

20. Opioid Tolerance****

21. Opioid tapers****

22. The Role of the Nurse Practitioner in Pediatric Chronic Pain**.**