Management of paediatric procedure-related cancer pain


Liossi, C. (1999) Management of paediatric procedure-related cancer pain. Pain Reviews, 6, (4), 279-302.

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Description/Abstract

Paediatric malignancy is not always painful in its own right; however, young patients with cancer undergo
numerous painful procedures for diagnosis, therapy and supportive care, including limbar puncture, bone
marrow aspiration and biopsy. Children with cancer consider painful procedures to be the most difficult
part of their illness and the frequent repetition of procedures does not desensitize them to the distress.
This review provides a brief overview of the state of the art with regard to procedure-related pain in children,
and presents some methods and strategies for assessing it and managing it effectively. The first section
briefly identifies the dimensions of procedure-related pain and describes the most commonly used
methods for its assessment. This followed by an examination of the pharmacological strategies for pain
management, including local anaesthesia, conscious sedation and general anaesthesia. In the next section,
psychological interventions for the management of procedure-related pain, such as preparation, cognitive–
behavioural therapy and hypnosis, are reviewed. The review concludes with recommendations for
clinical practice.

Item Type: Article
ISSNs: 0968-1302 (print)
Related URLs:
Subjects: R Medicine > RC Internal medicine > RC0254 Neoplasms. Tumors. Oncology (including Cancer)
B Philosophy. Psychology. Religion > BF Psychology
R Medicine > RJ Pediatrics
Divisions: University Structure - Pre August 2011 > School of Psychology > Division of Human Wellbeing
ePrint ID: 45061
Date Deposited: 22 Mar 2007
Last Modified: 27 Mar 2014 18:29
URI: http://eprints.soton.ac.uk/id/eprint/45061

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