The management of pain in children has long been an inadequately approached area in pediatrie residency training, yet presents itself as one of the most challenging facets of a pediatrician's practice. How pain is measured and managed presents a unique obstacle in the treatment of childhood disease.
After reviewing this issue of Pediatrìe Annals the practitioner should be familiar with: I ) the various age-appropriate techniques of assessing pain in children, 2) approaches to common painful diseases in the office setting, and 3) safe and costeffective means of dealing with chronic pain, painful medical procedures, and post-operative pain.
HOWTO OBTAIN CME CREDITS BY READING THIS ISSUE
Pediatricians can receive Category I credits for the Physician's Recognition Award of the American Medical Association by reading the following articles and successfully completing the quiz at the end of the issue. Complete instructions are given on the quiz pages.
The Pretest below has been prepared to assist you in studying the following material. It indicates some of the areas to be covered and will make it possible for you to challenge your present knowledge of the material before reading further.
1 . Behavioral pain scales are reliable and practical measures of a child's pain:
2. For persistent severe pain, medications should be administered contingent on symptoms rather than on a scheduled basis:
3. The Ideal sedative should have a rapid onset and offset allowing easy ti t rat Ion:
4. Meperidlne may cause CNS excitation and seizures due to accumulation of normeperldine:
Answers to the Pretest:
1.B 2.8 3.A 4.A