Pain: an integrative approach

Leora Kuttner

in Oxford Textbook of Palliative Care for Children

Second edition

Published on behalf of Oxford University Press

Published in print May 2012 | ISBN: 9780199595105
Published online July 2012 | e-ISBN: 9780199665020 | DOI:

Series: Oxford Textbooks In Palliative Medicine

Pain: an integrative approach

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  • Paediatrics
  • Palliative Medicine
  • Pain Medicine


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This chapter is divided into two major sections. The first section, on comprehensive pain management, covers definitions, assessment, child and parental involvement, and the meaning of the pain, with some case examples. The second section, on integrative methods, covers the use of hypnosis, imagery, breathing, music, and massage, and is illustrated with case examples. These techniques are based on naturally occurring experiences that children and parents can use comfortably. Although there is much evidence for the benefit of TENS, acupuncture, and biofeedback in relieving children’s pain, this will not be covered here. The emphasis in this chapter is on methods that parents and healthcare providers find relatively easy to use at home, in a hospice, or in hospital to control pain, to reduce distressing symptoms such as fear or fatigue, and to increase the feeling of well-being and peace at the end of life.

Chapter.  10476 words.  Illustrated.

Subjects: Paediatrics ; Palliative Medicine ; Pain Medicine

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