Persisting pain in childhood medical illness

2021 ◽  
pp. 343-350
Author(s):  
Martha Mherekumombe ◽  
John J. Collins
Keyword(s):  
Pain Management ◽  
Treatment Approach ◽  
Medical Illness ◽  
Childhood Diseases ◽  
Pain Mechanisms ◽  
Multifaceted Approach ◽  
Assessment And Treatment ◽  
Childhood Pain ◽  
Underlying Processes

Persistent pain in childhood and medical illness can be challenging to manage. The chapter has been revised to give a brief overview of the approach to pain management in some childhood diseases. Better understanding of the etiology of pain mechanisms guide the management of pain. In addition, an understanding of the pathophysiology of the underlying processes and utilizing a stepwise assessment and treatment approach is important. Discussion around the multifaceted approach to childhood pain management incorporating the understanding of the role and place of analgesics in managing these medical illnesses is outline. In addition, appropriate medication or analgesia prescription and the role of nonpharmacological approaches has been considered in this revision.

An Ounce of Prevention: Decreasing Painful Interventions in the NICU

2010 ◽  
Vol 29 (6) ◽  
pp. 353-358 ◽  
Author(s):  
Keitha Mountcastle
Keyword(s):  
Pain Management ◽  
Patient Experiences ◽  
Adverse Outcomes ◽  
Admission Process ◽  
Pediatric Residents ◽  
Neonatal Pain ◽  
Assessment And Treatment ◽  
Repeated Pain ◽  
Central Catheters

Despite a proliferation of literature relative to pain physiology, assessment, and treatment, pain management in NICUs remains inconsistent—most often focused on assessment and treatment rather than prevention. The acceptance of pain as an inevitable part of NICU hospitalization is part of the culture in many NICUs. This article is intended to encourage discussion of pain prevention in the NICU, with a goal of creating a new “minimal-pain” NICU culture. The focus of NICU pain management programs should be on decreasing the number of painful events the NICU patient experiences. Areas for consideration include assessing the performance of procedures by novice versus experienced NICU personnel, reevaluating the role of pediatric residents in the treatment of NICU patients, evaluating the use of umbilical lines and peripherally inserted central catheters to reduce the frequency of peripheral punctures, and evaluating the admission process for ways to reduce neonatal pain and stress. This article discusses the physiology of pain in the neonate, identifies adverse outcomes related to repeated pain, and proposes practice changes that can prevent unnecessary pain in neonatal care.

Role of Paracetamol in Acute Pain Management

Drugs ◽  
2003 ◽  
Vol 63 (Special Issue 2) ◽  
pp. 15-21 ◽  
Author(s):  
Henrik Kehlet ◽  
Mads Utke Werner
Keyword(s):  
Pain Management ◽  
Acute Pain ◽  
Acute Pain Management

The Role of Diabetes Mellitus in Diseases of the Gallbladder and Biliary Tract

2020 ◽  
Vol 16 (9) ◽  
pp. 931-948
Author(s):  
Benjamin Rahmani ◽  
Jason Gandhi ◽  
Gunjan Joshi ◽  
Noel L. Smith ◽  
Inefta Reid ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Risk Factors ◽  
Diabetic Neuropathy ◽  
Gallbladder Cancer ◽  
Biliary Tract ◽  
Treatment Approach ◽  
Database Search ◽  
Heavy Burden ◽  
Prevalence Of Diabetes Mellitus

Background: The increasing prevalence of diabetes mellitus worldwide continues to pose a heavy burden. Though its gastrointestinal impact is appropriately recognized, the lesser known associations may be overlooked. Objective: We aim to review the negative implications of diabetes on the gallbladder and the biliary tract. Methods: A MEDLINE® database search of literature was conducted with emphasis on the previous five years, combining keywords such as "diabetes," "gallbladder," and "biliary". Results: The association of diabetes to the formation of gallstones, gallbladder cancer, and cancer of the biliary tract are discussed along with diagnosis and treatment. Conclusion: Though we uncover the role of diabetic neuropathy in gallbladder and biliary complications, the specific individual diabetic risk factors behind these developments is unclear. Also, in addition to diabetes control and surgical gallbladder management, the treatment approach also requires further focus.

Depression – Let’s Talk - Role of Aashwasan Chikitsa

2017 ◽  
Vol 2 (3) ◽  
Author(s):  
Priya Vishal Naik ◽  
Prachi Datta Dalvi U.
Keyword(s):  
Major Depressive Disorder ◽  
Depressive Disorder ◽  
Positive Attitude ◽  
Medical Intervention ◽  
Medical Illness ◽  
Suicidal Tendency ◽  
Major Depressive ◽  
Curative Therapy ◽  
Personal Interaction

The WHO theme for the year 2017 is Depression. Depression (major depressive disorder) is a common and serious medical illness that negatively affects how a person feels, thinks and behaves. Psychotherapy if incorporated along with medications can be of substantial help in depression. It is also called ‘talking therapy’ and is based on personal interaction with the patient. Patients suffering from this disorder do not easily accept it and hence do not feel the need to seek medical intervention or counselling. In this process the symptoms might get aggravated and suicidal tendency (which is the worst effect of this disease) may develop. So it is extremely essential for the patient, family and society to accept, talk, discuss and seek treatment for this disease. This ‘talking therapy’ is of utmost importance in today’s life where concept of privacy is taking its toll. This therapy is mentioned in Ayurveda as Aashwasan Chikitsa. Aashwasan Chikitsa consists of good, pleasing and benevolent thoughts, spiritual ideas, positive attitude, ethics and communication with near ones. So in the treatment of psychological disorders, along with medications counselling therapy plays a very important role. Finally counselling can act as a part of preventive, curative therapy and also aids to avoid recurrence in the patients of depression.

Impulsive/Compulsive Sexual Behavior: Assessment and Treatment

2012 ◽  
Author(s):  
Eli Coleman
Keyword(s):  
Sexual Behavior ◽  
Diagnostic Criteria ◽  
Treatment Approach ◽  
Assessment Methods ◽  
Compulsive Sexual Behavior ◽  
Men And Women ◽  
Assessment And Treatment ◽  
Controversial Area ◽  
The Many ◽  
New Research

There is a growing recognition among clinicians that any type of sexual behavior can become pathologically impulsive or compulsive. There is quite a bit of debate about terminology for this condition, the diagnostic criteria, assessment methods and treatment approaches. In the absence of clear consensus, clinicians are struggling with how to help the many men and women who suffer and seek help from this type of problem. This chapter will review the author’s assessment and treatment approach. Clinicians will need to keep abreast of the literature as new research evolves and follow the continued debate around this controversial area.

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