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American Academy of Pediatrics
Article

Pain and Symptom Management in Pediatric Palliative Care

Kelly Komatz and Brian Carter
Pediatrics in Review December 2015, 36 (12) 527-534; DOI: https://doi.org/10.1542/pir.36-12-527
Kelly Komatz
*Division of Community & Societal Pediatrics, University of Florida College of Medicine, Jacksonville, FL.
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Brian Carter
†Division of Neonatology & Bioethics Center, University of Missouri-Kansas City & Children’s Mercy Hospital, Kansas City, MO.
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  • CME Quiz Corrections - September 01, 2016

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  1. Kelly Komatz, MD, MPH*
  2. Brian Carter, MD†
  1. *Division of Community & Societal Pediatrics, University of Florida College of Medicine, Jacksonville, FL.
  2. †Division of Neonatology & Bioethics Center, University of Missouri-Kansas City & Children’s Mercy Hospital, Kansas City, MO.
  • AUTHOR DISCLOSURE

    Drs Komatz and Carter have disclosed no financial relationships relevant to this article. This commentary does not contain a discussion of an unapproved/investigative use of a commercial product/device.

Abstract

Pain and symptom management is considered one of the cornerstones of palliative and hospice medicine. However, general clinicians and specialists are not usually comfortable addressing the most common forms of pain seen in the pediatric population. In addition, non-pain symptom management, especially when related to underlying chronic medical conditions, can be managed by the general clinician and specialists. The goal of this article is to educate clinicians about pain categories, taking a detailed pain history, and developing a plan for treatment, including nonpharmacologic methods. Finally, we discuss common symptoms in patients with chronic medical conditions, including first-line treatment options.

  • © American Academy of Pediatrics, 2015. All rights reserved.

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Pediatrics in Review: 36 (12)
Pediatrics in Review
Vol. 36, Issue 12
1 Dec 2015
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Pain and Symptom Management in Pediatric Palliative Care
Kelly Komatz, Brian Carter
Pediatrics in Review Dec 2015, 36 (12) 527-534; DOI: 10.1542/pir.36-12-527

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Pain and Symptom Management in Pediatric Palliative Care
Kelly Komatz, Brian Carter
Pediatrics in Review Dec 2015, 36 (12) 527-534; DOI: 10.1542/pir.36-12-527
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    • Abstract
    • Practice Gap
    • Objectives
    • Pain History
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