The principles of pain control in children are similar to those in adults, and in particular important during terminal illness. Initially it is advisable to use non-opioids such as paracetamol or non-steroidal anti-inflammatory agents. However if pain control cannot be achieved with such measures it is essential that children be allowed to be pain free and opioids (e.g. oral morphine) should be used to achieve this. Steroids should also be considered when inflammation is noticed. It is important that care providers and family members work together and keep each other well informed on new developments. From experience, there is great use in preparing the child’s care plan with the family.
Very few guidelines in this chapter