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Hello my name is bob i eat lots of shit Title: Pediatric pain. Author(s): Langreth, Robert N. Source: Science News; 2/2/91, Vol. 139 Issue 5, p74, 2p, 1 illustration, 1bw Document Type: Article Subject(s): ANALGESIA Abstract: Looks at the problems in childhood pain management, particularly for children with childhood cancers. Conference to set guidelines for managing pain in childhood cancers; Studies showing tendency to minimize painkiller doses for children; Uncertainties about amount of pain children feel; Emotional effects; Future research into children's pain. Full Text Word Count: 2003 ISSN: 0036-8423 Accession Number: 9102182569 Persistent link to this record: http://search.epnet.com/direct.asp?an=9102182569&db=aph&site=ehost Cut and Paste: Pediatric pain. Database: Academic Search Premier PEDIATRIC PAIN Helping sick children cope with medical pokes and probes Pain dominated the last 21 months of Timmy Offsay's shortened life. Diagnosed with leukemia at age 3 1/2, he underwent countless medical procedures ranging from finger pricks to dreaded bone-marrow aspirations, in which physicians would insert a needle into his hipbone to draw out a marrow sample. "Timmy was very clear that these procedures were painful and should be avoided. He fought every one of these procedures every time," wrote his mother, Jan Offsay, in an editorial in the December 1989 JOURNAL OF PAIN AND SYMPTOM MANAGEMENT. "Usually I wouldn't tell him [he was getting a bone-marrow aspiration] until we got there, because it would be so upsetting to him that he wouldn't want to leave the house," she told SCIENCE NEWS. In addition, Timmy felt "pain from chemo side effects, terminal illness pain, immeasurable emotional pain," she says. While physicians at the hospital provided "dedicated and knowledgeable [treatment]," Orsay wrote, "our own experience seemed to indicate that strong analgesics were rarely used in a nonterminal child." Not until his illness became advanced and his parents insisted on some unconventional measures for easing the pain of invasive procedures--such as giving Timmy general anesthesia before marrow samplings--did the boy's trauma become more manageable. He died in 1987 at age 6, after a month relatively free of pain. Pediatric pain specialists say Timmy's experience highlights a widespread problem. Many physicians fail to give hospitalized children enough painkiller or to use techniques for distracting and calming them during painful procedures, these specialists contend. And while experts interviewed by SCIENCE NEWS agree that childhood pain management in North America has improved iii the last few years, they say it still lags behind that of adults. "Most places don't treat [children's pain] properly" says Patrick J.


Approximate Word count = 1633
Approximate Pages = 6.5
(250 words per page double spaced)

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