tailieunhanh - CANCER PAIN RELIEF AND PALLIATIVE CARE IN CHILDREN

The neurophysiology of cancer pain is complex: it involves inflammatory, neuropathic, ischaemic and compression mechanisms at multiple sites. A knowledge of these mechanisms and the ability to decide whether a pain is nociceptive, neuropathic, visceral or a combination of all three will lead to best practice in pain management. People with cancer can report the presence of several different anatomical sites of pain, which may be caused by the cancer, by treatment of cancer, by general debility or by concurrent disorders. Accurate and meaningful assessment and reassessment of pain is essential and optimises pain relief. History, examination, psychosocial assessment and accurate. | Cancer pain relief and palliative care in children World Health Organization Geneva 1998 WHO Library Cataloguing in Publication Data Cancer pain relief and palliative care in children. Companion volume to Cancer pain relief with a guide to opioid availability. 1. Neoplasms - in infancy and childhood 2. Neoplasms - therapy 3. Pain - in infancy and childhood 4. Pain - therapy 5. Palliative care - in infancy and childhood 6. Narcotherapy -in infancy and childhood ISBN 92 4 154512 7 NLM Classification QZ 275 The World Health Organization welcomes requests for permission to reproduce or translate its publications in part or in full. Applications and enquiries should be addressed to the Office of Publications World Health Organization Geneva Switzerland which will be glad to provide the latest information on any changes made to the text plans for new editions and reprints and translations already available. World Health Organization 1998 Publications of the World Health Organization enjoy copyright protection in accordance with the provisions of Protocol 2 of the Universal Copyright Convention. All rights reserved. The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the Secretariat of the World Health Organization concerning the legal status of any country territory city or area or of its authorities or concerning the delimitation of its frontiers or boundaries. The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted the names of proprietary products are distinguished by initial capital letters. Typeset in Switzerland Printed in England 97 11427 - Strategic Clays - 12000 ii Contents Preface V Acknowledgements vii Introduction 1 Extent of the problem 1 The nature of children s .