Management of Non-Pain Symptoms in Pediatric Palliative CareFriedrichsdorf S.J. · Collins J.J.
aPain and Palliative Care Service, Children’s Hospital at Westmead, Sydney, Australia; bPain and Palliative Care Department, Children’s Hospitals and Clinics of Minnesota, Minneapolis, Minn., USA
The majority of children dying from a life-limiting condition suffer from distressing symptoms during their last weeks of life. The provision of current state-of-the-art symptom control is paramount for any health care professional working with dying children, but treatment guidelines are sparse. This article reviews the management of integrative and pharmacological therapies for acute seizure control, anorexia, death rattle, dyspnea, nausea and vomiting, and muscle spasm during the end-of-life period of children and teens. Several myths and misconceptions have led to inadequate symptom control in children with a terminal disease. A dying child is often highly symptomatic, and providing professional integrative and pharmacological symptom relief is one of the many precincts of pediatric palliative care.
Stefan J. Friedrichsdorf, MD
Pain and Palliative Care Department, Children’s Hospitals and Clinics of Minnesota
2525 Chicago Avenue South, Minneapolis, MN 55404 (USA)
Tel. +1 612 813 6100, Fax +1 612 813 6358
The authors have made extensive efforts to ensure that treatments, drugs and dosage regimens in this article are accurate and conform to the standards accepted at the time of the publication. However, changes in information through continuing research and clinical experience and the possibility of human error warrant that the authors do not accept any responsibility for any loss or damage arising from actions or decisions based on information in this article: the ultimate responsibility for the treatment of patients and interpretation of published material lies with the medical practitioner. There are standard on-line references for current dosing information and one of these should be consulted.
Received: June 29, 2005
Revised: February 6, 2006
Number of Print Pages : 7
Number of Figures : 0, Number of Tables : 3, Number of References : 31
Medical Principles and Practice (International Journal of the Kuwait University Health Sciences Centre)
Vol. 16, No. Suppl. 1, Year 2007 (Cover Date: August 2007)
Journal Editor: Owunwanne, A. (Kuwait)
ISSN: 1011–7571 (print), 1423–0151 (Online)
For additional information: http://www.karger.com/MPP