Pain and Symptom Management
Problems associated with pain and symptom management among children undergoing treatment for cancer is a major area of concern for clinicians. This chapter discusses methods of assessing and treating chemotherapy-induced nausea and vomiting, pain secondary to invasive procedures, and other distressing symptoms. It also reviews methods of evaluating individual differences among pediatric cancer patients in their vulnerability to pain symptoms, managing children's procedure-related pain and distress according to the needs of the individual child, and relationships between children's acute and chronic pain reactions. Focusing on acute pain, the chapter builds a framework for understanding variation in symptoms across children undergoing the same procedure or chemotherapy and variation in symptoms for the same child at different points in time. It also provides a brief review of the anatomy and physiology of pain transmission and inhibition.
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