Handbook of Pediatric Chronic Pain: Current Science and Integrative Practice (Perspectives on Pain in Psychology)

Pediatric Chronic Pain Current Science and Integrative Practice Brenda McClain and Santhanam Suresh, editors In contrast to the days when children were thought to experience less pain than adults, we now know that this is not the case and that prolonged exposure to pain may predispose children to chronic pain syndromes later in life. For these reasons, pain management has become an essential part of pediatric care. Pediatric Chronic Painreflects current advances in the field, offering the pediatric specialist a comprehensive evidence base for the understanding, accurate assessment, and developmentally appropriate treatment of pain in children, from neonates to adolescents. The work of respected physicians and psychologists, this practical guide provides definitive information on frequently encountered syndromes, assessment tools, a wide range of mainstream and complementary intervention strategies (with special attention to opioid tolerance and tapers), and palliative care. Its groundbreaking coverage: Reviews the epidemiology of chronic pain in children and the history of its management. Features in-depth discussion of pediatric musculoskeletal, abdominal, and pelvic pain syndromes, cancer, sickle cell anemia, and headaches. Includes a concise guide to radiological imaging and other assessment modalities Offers treatment rationales based on cutting-edge research. Examines the spectrum of interventive techniques, including therapeutic blocks, implantable systems, physical therapy, pharmacotherapy, and complementary methods. Clarifies the role of the nurse practitioner in managing chronic pain in children and adolescents Pediatric Chronic Pain will be a trusted daily reference for child psychologists, psychiatrists, and neurologists; medical and health psychologists in pediatric/adolescent settings; pediatric surgeons; and pediatricians, especially those with subspecialty training in neurology, hematology-oncology, and rheumatology. The purpose of this text is to provide not only the science and current knowledge of pediatric pain management but a rationale for intervention. The book is ground-breaking in that it provides pearls for the recognition and management of multiple childhood chronic pain syndromes. Also, uncommon yet confounding issues such as pain management for epidermolysis bullosa are adequately addressed. Concerns unique to pediatric patients are reviewed. While there are no firm standards in pediatric chronic pain, a care plan is offered to help guide practitioners when possible. The book will consist of 24 chapters, many co-written by a physician and a psychologist. Chapter 1 covers the history of pediatric chronic pain, the advancement pediatric pain as a clinical subspecialty, development of pediatric pain clinics, and characterization of the common pain syndromes. Chapters 2-4 cover, respectively, the research on early pain exposure and neuroplasticity, theories on the common adolescent pain syndromes, and the demographics of chronic pain in children. Chapters 5-16 discuss approaches to assessment and intervention for specific pediatric and adolescent pain syndromes. Chapters 17-23 address interventional techniques such as therapeutic blocks, neurablation, implantable systems, physical therapy, complementary therapy, and pharmacology including opioid tolerance. The final chapter discusses the role of the nurse practitioner in pediatric chronic pain. Front Matter....Pages i-xv The Epidemiology of Pediatric Chronic Pain....Pages 1-14 The Neurobiology of Chronic Pain in Children....Pages 15-25 Theories on Common Adolescent Pain Syndromes....Pages 27-44 Demographics of Chronic Pain in Children....Pages 45-61 Assessment Tools in Pediatric Chronic Pain: Reliability and Validity....Pages 63-85 Psychiatric Considerations in Pediatric Chronic Pain....Pages 87-94 Clinical Management of Musculoskeletal Pain Syndromes....Pages 95-105 Functional Abdominal Pain in Children....Pages 107-119 Chronic and Recurrent Pelvic Pain....Pages 121-147 Etiologies and Clinical Management of Headache....Pages 149-176 Sickle Cell Pain....Pages 177-191 Pain Management in Pediatric Palliative Care....Pages 193-210 Cancer-Related Pain in Childhood....Pages 211-233 Radiological Imaging in the Management of Pediatric Pain....Pages 235-252 Regional Anesthesia for Chronic Pain Management in Children and Adolescents....Pages 253-263 Complex Regional Pain Syndrome (CRPS)....Pages 265-271 Physical Therapy....Pages 273-291 The Integrative Approach for Management of Pediatric Pain Acupuncture....Pages 293-302 Clinical Hypnosis in Children....Pages 303-314 Pharmacology of Chronic Pain Management....Pages 315-342 Opioid Tolerance....Pages 343-358 Opioid Tapers....Pages 359-374 The Role of Nurse Practitioner in Chronic Pain Management....Pages 375-408 Back Matter....Pages 409-418 In contrast to the days when children were thought to experience less pain than adults, we now know that this is not the case and that prolonged exposure to pain may predispose children to chronic pain Syndromes later in life. For these reasons, pain management has become an essential part of pediatric care. Handbook of pediatric chronic pain reflects current advances in the field, offering the pediatric specialist a comprehensive evidence base for the understanding, accurate assessment, and developmentally appropriate treatment of pain in children, from neonates to adolescents. The work of respected physician an psychologists, this practical guide provides definitive information on frequently encountered syndromes, assessment tools, a wide range of mainstream and complementary intervention strategies (With special attention to opioid tolerance and tapers), and palliative care. Its groundbreaking coverage