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A Quantitative Sensory Testing Paradigm to Obtain Measures of Pain Processing in Patients Undergoing Breast Cancer Surgery
Published on: January 18, 2018
Working toward better cancer pain management for children
Doralina Anghelescu1, Linda Oakes
1Department of Anesthesiology, St. Jude Children's Research Hospital, Memphis, Tennessee 38105-2794, USA.
Insights
Effective pain management for pediatric cancer patients is crucial for minimizing distress and improving treatment outcomes. This involves a multidisciplinary approach combining pharmacologic and non-pharmacologic strategies tailored to each child.
Area of Science:
- Pediatric Oncology
- Pain Management
- Palliative Care
Background:
- Effective pain management in pediatric cancer is essential for reducing psychological distress and physiological stress.
- A multidisciplinary team approach is necessary, integrating pharmacologic and non-pharmacologic strategies tailored to individual needs.
- Pain assessment using age-appropriate tools is the critical first step in developing a management plan.
Purpose of the Study:
- To outline a practical approach for managing pain in children undergoing cancer therapy.
- To emphasize the importance of individualized care in pediatric cancer pain management.
- To provide guidance on pharmacologic and non-pharmacologic pain management strategies.
Main Methods:
- Utilizing a team approach with established guidelines for pharmacologic management.
- Integrating non-pharmacologic strategies alongside medication.
- Individualizing treatment plans for each child's specific situation.
- Employing age-appropriate pain assessment tools.
- Describing dosages for pediatric opioid and non-opioid medications.
- Discussing the role of various anesthetic agents (local, systemic, epidural).
Main Results:
- The abstract does not contain specific results but outlines a comprehensive management approach.
- The described approach facilitates the integration of pharmacologic and non-pharmacologic interventions.
- Individualized care plans are central to the proposed management strategy.
Conclusions:
- A practical, team-based approach can effectively prepare and support children with cancer through painful therapies.
- Improved pain management contributes to better tolerance of intensive oncology treatments.
- This approach aims to enhance the survival rates of children with cancer by mitigating treatment-related suffering.
Purpose:
Management of the pain experienced by children with cancer is critical to minimize the psychological distress and physiologic responses to their illness and its treatment.
Overview:
A team approach to providing care, using guidelines for pharmacologic management intertwined with nonpharmacologic strategies, while individualizing the care of a specific child, is required. Pain management must start with assessment using tools that are age appropriate and well suited to the clinical situation. Dosages of the recommended opioid and nonopioid medications that are suitable for children as well as the role of locally, systemically, and epidurally administered anesthetic agents are described by the authors.
Clinical Implications:
By following this practical approach, children can be prepared and supported during the various intensive oncology therapies often associated with pain that are now offered in the hope of improving the survival of children with cancer.
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