MEDI7212 Lecture Notes - Lecture 74: Gabapentin, Amitriptyline, Blood Transfusion
Document Summary
Pain development: palliative care for children is a special, albeit closely related field to adult palliative care, which involves active total care of the child"s body/ mind/ spirit and also involves giving support to the family. Life limiting: no reasonable hope of cure and near death is imminent, progressive deterioration over time frame (mths - yrs) Life threatening: curative treatment may be feasible or fail, eg child with cancer when treatment fails (stage 4 neuroblastoma), irreversible organ failure (no transplant or transplant unsuccessful, categories of life limiting conditions. Category 1 curative treatment may be feasible or fail: eg child with cancer when treatment fails (stage 4 neuroblastoma), irreversible organ failure (no transplant or transplant unsuccessful) Category 2 premature death is inevitable, but long periods of intensive treatment aimed at prolonging life and allowing participation in normal activities: eg hiv, complex cardiac disease, duchenne muscular dystrophy, cystic fibrosis.
