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Erschienen in: Pediatric Drugs 6/2014

01.12.2014 | Therapy in Practice

Assessment and Management of Pain in Juvenile Idiopathic Arthritis

verfasst von: Jennifer E. Weiss, Nadia J. C. Luca, Alexis Boneparth, Jennifer Stinson

Erschienen in: Pediatric Drugs | Ausgabe 6/2014

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Abstract

Juvenile idiopathic arthritis (JIA) is the most common chronic rheumatic disease in childhood. Persistent pain is the most common and distressing symptom of JIA, and pain in childhood arthritis is multifactorial. Children and adolescents with persistent pain due to JIA experience significantly more problems with physical, emotional, social, and school functioning than healthy individuals. Assessment of pain at each office visit is the cornerstone of effective pain management and should include an evaluation of pain intensity, interference, and coping. Following the biopsychosocial model of pain management, a multi-modal approach is recommended for pain control in children with arthritis. Pharmacologic strategies for the treatment of pain in JIA include aggressive treatment of the underlying disease as well as the use of acetaminophen and systemic and topical non-steroidal anti-inflammatory drugs for persistent mild pain. Opioids can be considered in the case of moderate to severe persistent pain. Physical therapies and psychological interventions such as cognitive behavioral therapy are also key components of pain management in JIA.
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Metadaten
Titel
Assessment and Management of Pain in Juvenile Idiopathic Arthritis
verfasst von
Jennifer E. Weiss
Nadia J. C. Luca
Alexis Boneparth
Jennifer Stinson
Publikationsdatum
01.12.2014
Verlag
Springer International Publishing
Erschienen in
Pediatric Drugs / Ausgabe 6/2014
Print ISSN: 1174-5878
Elektronische ISSN: 1179-2019
DOI
https://doi.org/10.1007/s40272-014-0094-0

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