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Titolo:
Practice of pain control in paediatric oncology - recommendations of the quality-monitoring group of the German Society for Paediatric Oncology and Haematology (GPOH)
Autore:
Zernikow, B; Griessinger, N; Fengler, R;
Indirizzi:
Univ Witten Herdecke, Vest Kinderklin Datteln, D-45711 Datteln, Germany Univ Witten Herdecke Datteln Germany D-45711 n, D-45711 Datteln, Germany
Titolo Testata:
MONATSSCHRIFT KINDERHEILKUNDE
fascicolo: 5, volume: 147, anno: 1999,
pagine: 438 -
SICI:
0026-9298(199905)147:5<438:POPCIP>2.0.ZU;2-R
Fonte:
ISI
Lingua:
GER
Soggetto:
INDUCED GASTRODUODENAL INJURY; PATIENT-CONTROLLED ANALGESIA; CANCER PAIN; CHILDREN; SEDATION; MORPHINE; THERAPY; METAANALYSIS; GUIDELINES; MIDAZOLAM;
Keywords:
oncology; opioids; paediatrics; pain control;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
49
Recensione:
Indirizzi per estratti:
Indirizzo: Zernikow, B Univ Witten Herdecke, Vest Kinderklin Datteln, Lloydstr 5, D-45711 Datteln, Univ Witten Herdecke Lloydstr 5 Datteln Germany D-45711 teln,
Citazione:
B. Zernikow et al., "Practice of pain control in paediatric oncology - recommendations of the quality-monitoring group of the German Society for Paediatric Oncology and Haematology (GPOH)", MONATS KIND, 147(5), 1999, pp. 438

Abstract

In paediatric oncology, optimal pain control is still a challenge. A structured pain history and the regular scoring of pain intensity using age-adapted measuring tools are hallmarks of optimal pain control. Psychological measures are as important as drug therapy in prophylaxis or control of pain, especially when performing invasive procedures. Pain control is oriented onthe WHO multistep therapeutic schedule. On no account must the paediatric patient have to climb up the 'analgesic ladder' - strong pain requires the primary use of strong drugs. Give opioids preferable by the oral route and by the clock - short acting opioids should be used to treat break-through pain. Alternatives are IV infusion and patient-controlled analgesia. Constipation is the adverse effect most often seen with (oral) opioid therapy. Adverse effects should be anticipated, and prophylactic treatment should be given consistently. The assistance of paediatric nurses is of utmost importance in paediatric pain control. Nurses deliver the basis for rational and effective pain control by scoring pain intensity and documenting drug administration as well as adverse effects. The nurses' task is also to prepare thepatient for and monitor the patient during painful procedures. It is the responsibility of both nurse and doctor to guarantee emergency intervention during sedation whenever needed. In our paper we comment on drug selection and dosage, pain measurement tools, and documentation tools for the purposeof pain control. Those tools may be easily integrated into daily routine.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 06/07/20 alle ore 07:30:52