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Pain Management

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Pain Management

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These three surveillance reports include literature searches updated since the systematic review was posted in December 2020, putting newly identified studies in the context of what is known. No additional surveillance reports are planned.

Pain management.

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This is designed as a textbook for medical practitioners preparing for higher qualification examinations in pain medicine, as well as a reference book for other medical and allied healthcare workers. A unique feature of the book is its multidisciplinary approach to manage pain. This is reflected by the contributors' multi-national/cultural origin and the diversity in their medical background (anaesthesiology, neurosurgery, orthopaedic surgery, internal medicine, clinical oncology, clinical psychology, nursing, physiotherapy, and occupational therapy). Essential topics in pain medicine are grouped under five sections: scientific basis of pain medicine, common clinical pain conditions, pain pharmacology, interventional procedures, and multidisciplinary approach. Different aspects and approaches in modern pain medicine are covered, including advances in research on pain mechanism, pain psychology, epidemiology, diagnosis, pain assessment, patient evaluation, pain medications, up-to-date interventional procedures, cognitive behavioral therapy, and other specialized therapeutic modalities. Besides the above topics, which assist the patient in fighting acute, chronnic, and cancer pain, there are two chapters dedicated to paediatric and geriatric patients respectively, as special consideration is need for these age groups.

Pain medicine. --- Pain. --- Pain Management --- Pain Management.

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The newborn is not a miniature adult. Its physiological systems are indeed still developing. However, the newborn child is able to feel the pain and probably in a more acute way tha an older child. This pain must be taken care of by health professionals. Actually, if this pain is not treated, it may bring about negative consequences in the short and in the long term, among which hypersensitivity in particular. It’s a difficult task for caregivers to assess small children’s pain as they cannot express themselves or undoubtedly demonstrate it. Several tools have been developed to help evaluate the intensity of the pain felt. A stepwise approach is recommended by international guidelines. It is based on scientific data whose levels of evidence are sometimes variable. This work aims at summing up the available treatments and their indications. The pharmacist and more specifically the hospital pharmacist, has a role to play in optimizing the care of these newborns. Le nouveau-né n'est pas un adulte en miniature, ses systèmes physiologiques ne sont pas encore tous arrivés à maturité. Il est cependant capable de ressentir la douleur et sans doute de manière plus intense qu'un enfant plus âgé.Cette douleur doit être prise en charge par les professionnels de santé. En effet, si elle n'est pas traitée, elle peut avoir de conséquences néfastes à court et à long terme dont notamment une hypersensibilité.La difficulté pour les soignants est d'objectiver la douleur chez ces enfants qui ne peuvent s'exprimer ou le démontrer de manière indubitable. Plusieurs outils ont été développés pour essayer d'évaluer l'intensité de la douleur ressentie. Une approche de prise en charge par étapes est préconisée par des recommandations internationales. Elle se base sur des données scientifiques dont le niveau d'évidence est parfois variable. Ce mémoire a pour objectif de faire le point sur les différents traitements disponibles et leurs indications. Le pharmacien, essentiellement hospitalier, a un rôle à jouer dans l'optimalisation de la prise en charge de ces nouveau-nés.

Infant, Newborn --- Pain Management