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Published on: January 11, 2016
Pain in cognitively impaired children: a focus for general pediatricians
M Massaro1, S Pastore, A Ventura
1Institute for Maternal and Child Health-IRCCS ''Burlo Garofolo''-Trieste, University of Trieste, Trieste, Italy.
Insights
Pain significantly impacts children with cognitive impairment and cerebral palsy, affecting their quality of life. Effective pain management strategies and tools exist but require greater pediatrician awareness and utilization.
Area of Science:
- Pediatrics
- Neurology
- Pain Management
Background:
- Pain is highly prevalent in children with cognitive impairment and cerebral palsy.
- This pain critically affects their overall quality of life.
- Understanding pain in this population is essential for effective care.
Purpose of the Study:
- To review the available evidence on pain in children with cognitive impairment and cerebral palsy.
- To explore prevalence, causes, treatment, recognition, and consequences of pain.
- To highlight the need for improved diagnostic and therapeutic approaches.
Main Methods:
- Systematic review of existing literature.
- Analysis of data on pain prevalence, etiology, and management.
- Evaluation of pain assessment tools and their application.
Main Results:
- Pain is a common issue in this patient group.
- Various conditions contribute to pain, necessitating targeted treatments.
- Validated tools for pain assessment and management are available, even for non-verbal children.
Conclusions:
- Pain is a critical factor influencing quality of life for children with cognitive impairment and cerebral palsy.
- Effective treatments and preventive measures for pain exist.
- Increased pediatrician awareness and consistent use of validated pain assessment tools are crucial for optimal patient care.
Unlabelled:
Pain in children with cognitive impairment and cerebral palsy is a particularly relevant issue due to its high prevalence and impact on quality of life. We review available evidence about prevalence of pain, causes and specific treatment, recognition and use of specific pain scales, physiology, and consequences of pain in this subset of patients.
Conclusions:
Pain is very common and is a critical determinant of quality of life in children with cognitive impairment and cerebral palsy. The diseases and associated complications that frequently expose these patients to pain can be treated and pain prevented. For patients with communication difficulties, appropriate, effective, validated tools are available and should be used to diagnose pain in itself, to >choose analgesic treatment and to determine effectiveness of these therapies. The level of awareness of pediatricians towards this issue seems to be quite low.
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