Abstract

NOTEJANE, Martín. Managing severe persistent pain in children suffering from chronic encelopathy with cognitive impairment. Arch. Pediatr. Urug. [online]. 2015, vol.86, n.3, pp.192-196. ISSN 1688-1249.

Pain is a common and significant problem in children with chronic encephalopathy with cognitive impairment. This population is very vulnerable to the lack of recognition and undertreatment of pain. Usually they may have multiple sources and mechanisms of pain, nociseptive as a result of tissue damage and inflammation and neuropathic injury, dysfunction or disorder of the nervous system. They may have associated problems such as spasticity, dysautonomia, dystonias, considered additional sources of discomfort, which must be included to guide treatment. The use of validated scales can contribute to a better evaluation of intensity. A protocol based on international guidelines that integrates pharmacological measures, supported by non-pharmacological therapies presents an integral strategy for the relief of pain in this population.

Keywords : PAIN; BRAIN DISEASES; COGNITION DISORDERS; CHILD.

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