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The Long Ouch: An Approach to Chronic Pain Management

Presentation Description: Children with cancer may have pain for many different reasons.  At diagnosis, pain may be the presenting feature of their condition, and treatment of the cancer can also treat the pain. During therapy, pain may recur, as a direct result of the treatment (chemotherapy, surgery, or radiotherapy), due to relapse or for unrelated reasons. When pain does not resolve or recurs during treatment, children and their families are often anxious, wondering whether the cancer has returned. This presentation focused on models of pain and outlined a pharmacological approach which can be applied to children who have pain during their treatment. The concept of total pain and the non pharmacological strategies which may be beneficial to the child and family were briefly discussed.

Speaker:

Christina Vadeboncoeur, MD, FRCPC
Pediatrician, Pediatric Palliative Care Outreach Team
Children’s Hospital of Eastern Ontario
Assistant Professor, Department of Pediatrics
University of Ottawa, Ottawa, ON

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