Aggressive Approach to Pain and Symptom Management is a key For Effective Palliation in Terminally-ill Pediatric Patients

Abstract

Palliative care for children represents a special field. The authors are presenting a diagnosed case of Ewing's sarcoma as an example of comprehensive management of pain and symptoms. Patient's pain was managed with oral morphine along with NSAIDs, amitriptyline and gabapentin. The patient was kept engaged in different activities during the day keeping in mind that no one disturbed him during sleep. High-quality palliative care is now an expected standard at the end of life. It has to be emphasized that prescribing morphine and gabapentin in optimum doses was good enough for the patient to control his pain as far as his pharmacological treatment was considered. With the aggressive use of psychosocial management, morphine and other pain-relieving interventions, palliation can be made more effective in children.