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Pain in Children With Cancer: Prevalence, Characteristics, and Parent Management
Perri R Tutelman1,2, Christine T Chambers1,2,3, Jennifer N Stinson4,5,6,7
1Departments of Psychology and Neuroscience.
The Clinical Journal of Pain
|July 6, 2017
Summary
Parents frequently use physical and psychological methods, like distraction, to manage pediatric cancer pain. However, pain management remains a challenge for children during and after cancer treatment.
Area of Science:
- Pediatric Oncology
- Pain Management
- Child Psychology
Background:
- Pediatric cancer pain is a significant concern for children and their families.
- Outpatient care for pediatric cancer patients is increasing, highlighting the need to understand parental pain management strategies.
Purpose of the Study:
- To investigate pain prevalence and characteristics in children with cancer.
- To examine the pharmacological, physical, and psychological pain management strategies employed by parents.
- To assess parents' confidence in managing their child's cancer pain.
Main Methods:
- A survey was administered to 230 parents/caregivers of children with cancer (currently in treatment or survivors).
- The survey collected data on the child's pain experiences in the preceding month.
- Data included pain characteristics and management strategies used by parents.
Main Results:
- Children on active treatment and post-treatment experienced significant pain.
- Parents utilized more physical and psychological strategies (e.g., distraction) than pharmacological ones.
- Acetaminophen was the most common pain medication; parental confidence decreased with higher perceived pain and medication use.
Conclusions:
- Despite parental efforts, managing cancer-related pain in children remains a persistent issue.
- Further research and support are needed to improve pain management outcomes for pediatric cancer patients.
- Understanding parental strategies is crucial for developing effective interventions.
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