Chronic Pain Management as a Barrier to Pediatric Palliative Care
ABSTRACT:
Pain is common as a presenting complaint to outpatient and emergency departments for children, yet pain management represents one of the children’s largest unmet needs. A child may present with acute pain for an intermittent issue or may have acute or chronic pain in the setting of chronic illness. The mainstay of treatment for pain uses a stepwise approach for pain management, such as set up by the World Health Organization. For children with life-limiting illnesses, the Institute of Medicine guidelines recommends referral upon diagnosis for palliative care, meaning that the child receives comprehensive services that include pain control in coordination with curative therapies; yet barriers remain.
From the provider perspective, pain can be better addressed through a careful assessment of one’s own knowledge, skills, and attitudes. The key components of pain management in children are multimodal, regardless of the cause of the pain.
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