Developing a pain and palliative care programme at a US children's hospital
Developing a pain and palliative care programme at a US children's hospital
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DOI：
10.12968/ijpn.2007.13.11.27588
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发表时间：
2007-01-01
影响因子：
1
通讯作者：
Chrastek, Jody
中科院分区：
文献类型：
--
作者：
Friedrichsdorf, Stefan J.;Remke, Stacy;Chrastek, Jody
虽然世界上有许多成功的成人疼痛和姑息治疗联合方案，但儿科疼痛和姑息治疗综合服务很少。本文综述了儿科姑息治疗的流行病学、定义、症状患病率和误区。然后描述了美国明尼苏达州儿童医院和诊所的儿童疼痛和姑息治疗方案的发展。这项儿科服务旨在控制所有住院和门诊病人的急性、慢性和复发性疼痛，并在家中进行随访。该团队还为患有生命限制或绝症的儿童和青少年及其家人提供全面的跨学科护理。它是明尼苏达州唯一的儿科临终关怀提供者。综合疼痛和姑息治疗方案（如本文所述）的优势之一，可能是提供从急性、慢性或复发性疼痛到姑息治疗和临终关怀的连续治疗。这个例子表明，综合儿科止痛药和姑息治疗方案可以在儿童医院环境中成功实施。
Although a number of successful adult combined pain and palliative care programmes exist worldwide, integrated paediatric pain and palliative care services are rare. This article reviews epidemiology, definition, symptom prevalence and myths in paediatric palliative care. It then describes the development of the Pediatric Pain and Palliative Care Programme at the Children's Hospitals and Clinics of Minnesota, USA. This paediatric service aims to control acute, chronic and recurrent pain in all in-and outpatients at the hospitals, with follow-up at home. The team also provides holistic, interdisciplinary care for children and teens with life-limiting or terminal diseases, and their families. It is the only paediatric hospice provider in the state of Minnesota. One of the advantages of an integrated Pain and Palliative Care Programme such as the one described in this article, may be the provision of care in a continuum from acute, chronic or recurrent pain to palliative care and hospice care. This example shows, that integrated paediatric pain medicine and palliative care programmes can be successfully implemented in a children's hospital setting.