• Paed Child Healt Can · Apr 2015

    Review

    Challenging neurological symptoms in paediatric palliative care: An approach to symptom evaluation and management in children with neurological impairment.

    • Lisa Ann Rasmussen and Marie-Claude Grégoire.
    • Department of Paediatrics, McGill University/Montreal Children's Hospital, Montreal, Quebec;
    • Paed Child Healt Can. 2015 Apr 1;20(3):159-65.

    AbstractNeurological symptoms are very common in children with life-limiting conditions and are challenging in terms of burden of illness. Moreover, neurological symptoms can significantly impact the child's quality of life and contribute to distress among parents, families, caregivers and health care providers. Knowing how to manage and alleviated these symptoms is essential for providing good palliative care. In the present article, the more common neurological symptoms of agitation/irritability, spasticity and dystonia will be reviewed. The aim of the present brief review is to provide a basic approach to both the identification and treatment of these neurological symptoms. A medication table is provided for quick reference. A brief commentary and guidance for the management of pain are also incorporated, with reference to further literature sources.

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