Challenges in the treatment of pain in pediatric oncology patients

<p>Farid Abolhasan Gharehdaghi</p>

Challenges in the treatment of pain in pediatric oncology patients

Farid Abolhasan Gharehdaghi

Mahak’s Pediatric Cancer Treatment and Research Center, Iran

: Analg Resusc: Curr Res

Abstract

Medical treatment of children, in turn, has certain complexities and subtleties. With regard to this, the treatment of pain, particularly in children suffering from cancer, has its own complexities and difficulties. Except for the accuracy of the diagnosis and control of all types of cancer pain effectively, we must overcome many obstacles, which are a barrier to adequate pain control. Among the barriers that we encounter, three of them are more common: 1) Physician-related barriers, 2) Patient-related barriers, and 3) Social-related barriers. Unfortunately, physician reluctance to consultation with pain department is a major barrier, and this issue of lack of knowledge about the harmful effects of the pain and unfamiliarity with new protocol for treatment of cancer painis a major drawback for the patient’s and his family’s life. So, each cancer center requires a pain department, pain management specialist and a multi-disciplinary center for accurate scientific research and treatment of cancer pain. Perhaps for some patients, the traditional WHO’s three-step analgesic scale is appropriate for cancer pain relief, However, given the progress that has been made in the field of interventional pain medicine, needs to be reviewed on the treatment ladder. Every physician who works in the field of cancer should be familiar with the some important terms in cancer pain such as: Breakthrough, incidental, neuropathic, nociceptive, and mixed pain and pain genetic. Also for adequate control of cancer pain, all the aspects of treatment such as anatomic, pathologic, physiologic, pharmacologic, pharmaco-genetic, cultural, social, economic, spiritual and personalized pain Medicine should be considered