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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

Pain

Pain

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

Justin Amery

Michelle Meiring

Renee Albertyn

Sat Jassal

Publisher:
Oxford University Press
DOI:10.1093/acprof:oso/9780199567966.003.0005

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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