Management of Chronic Pain in Children
Publication Date: December 1, 2020
Last Updated: March 14, 2022
RECOMMENDATIONS
In children with chronic pain, physical therapies may be used, either alone or in combination with other treatments. (Very LowConditional (weak))
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In children with chronic pain, psychological management through cognitive behavioural therapy and related interventions (acceptance and commitment therapy, behavioural therapy and relaxation therapy) may be used. (ModerateConditional (weak))
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Psychological therapy may be delivered either face-to-face or remotely, or using a combined approach. (ModerateConditional (weak))
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In children with chronic pain, appropriate pharmacological management, tailored to specific indications and conditions, may be used. (LowConditional (weak))
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Appropriate pharmacological management tailored to specific indications may include the use of morphine under the principles of opioid stewardship, for end-of-life-care. (Very LowConditional (weak))
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In children with chronic pain associated with life-limiting conditions, morphine may be given by appropriately trained healthcare providers, under the principles of opioid stewardship. ( Very Low , Conditional (weak) )
Life-limiting conditions are illnesses for which there is no cure and an early death is expected, but with which a person may continue to live for several more years.
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Recommendation Grading
Overview
Title
Management of Chronic Pain in Children
Authoring Organization
World Health Organization
Publication Month/Year
December 1, 2020
Last Updated Month/Year
February 7, 2024
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Inclusion Criteria
Female, Male, Child
Health Care Settings
Ambulatory, Childcare center, Hospital
Intended Users
Social worker, physician, nurse, nurse practitioner, physician assistant
Scope
Management
Diseases/Conditions (MeSH)
D059350 - Chronic Pain
Keywords
Guidelines, chronic pain in children
Source Citation
Guidelines on the management of chronic pain in children. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO.