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Children's Palliative Care in Africa$
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Justin Amery

Print publication date: 2009

Print ISBN-13: 9780199567966

Published to Oxford Scholarship Online: November 2011

DOI: 10.1093/acprof:oso/9780199567966.001.0001

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PRINTED FROM OXFORD SCHOLARSHIP ONLINE (oxford.universitypressscholarship.com). (c) Copyright Oxford University Press, 2021. All Rights Reserved. An individual user may print out a PDF of a single chapter of a monograph in OSO for personal use. date: 13 June 2021



(p.97) Chapter 5 Pain
Children's Palliative Care in Africa

Justin Amery

Michelle Meiring

Renee Albertyn

Sat Jassal

Oxford University Press

This chapter deals with cracking some myths about pain relief in children's palliative care; pain assessment; pain diaries and flow sheets; the extent of the children's palliative care pain problem in Africa; causes of pain in children with cancer or HIV/AIDS; principles of pain management in children; principles of pharmacological pain management in children's palliative care; special kinds of pain requiring special treatments; and a practical approach to pain treatment in children. The discussion suggests one always starts with paracetamol and an NSAID. If that's not enough, morphine should be used. If anxiety is a major factor, one must add a benzodiazepine If the pain is shooting, burning, or in a dermatome, one should add amitriptyline, or carbamazepine. If the pain is related to seizures or spasm, one should add an anticonvulsant and/or benzodiazepine.

Keywords:   pain assessment, palliative care, Africa, HIV, AIDS, pharmacological pain

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