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close this bookNational Guidelines for the Clinical Management of HIV/AIDS - Tanzania (NACP; 2005; 131 pages)
View the documentLIST OF ABBREVIATIONS
View the documentACKNOWLEDGEMENTS
View the documentFOREWORD
Open this folder and view contentsCHAPTER 1: INTRODUCTION
Open this folder and view contentsCHAPTER 2: ORGANIZATION OF HIV/AIDS CARE AND TREATMENT
Open this folder and view contentsCHAPTER 3: HIV/AIDS PREVENTION
Open this folder and view contentsCHAPTER 4: PROTECTIVE MEASURES AGAINST HIV TRANSMISSION
Open this folder and view contentsCHAPTER 5: LABORATORY TESTS IN HIV/AIDS
Open this folder and view contentsCHAPTER 6: HIV/AIDS AND PREGNANCY
close this folderCHAPTER 7: PEDIATRIC HIV/AIDS AND RELATED CONDITIONS
View the document7.1 Introduction
View the document7.2 HIV/AIDS Manifestations in Children
View the document7.3 Diagnosis of HIV infection in infants
View the document7.4 Management of infants born to HIV positive women
View the document7.5Care of HIV infected Children
close this folder7.6 Clinical manifestations of paediatric HIV infection
View the document7.6.1 Respiratory conditions in children with HIV infection
View the document7.6.2 Oro-pharyngeal candidiasis in children with HIV infection
View the document7.6.3 Neurologic problems in children with HIV infection
View the document7.6.4 Persistent generalised lymphadenopathy (PGL) in children
View the document7.6.5 Chronic parotitis
View the document7.6.6 Chronic Ear Infection
View the document7.6.7 Persistent or recurrent fever in children
View the document7.6.8 Persistent Diarrhoea
View the document7.6.9 Impaired growth in children with HIV infection
View the document7.6.10 Supportive therapy
View the document7.6.11 Pain control in terminally ill children
Open this folder and view contentsCHAPTER 8: COMMUNITY AND HOME BASED CARE FOR PEOPLE LIVING WITH HIV/AIDS (PLHA)
Open this folder and view contentsCHAPTER 9: COUNSELLING RELATED TO HIV-TESTING AND TREATMENT ADHERENCE
Open this folder and view contentsCHAPTER 10: MANAGEMENT OF COMMON SYMPTOMS AND OPPORTUNISTIC INFECTIONS IN HIV/AIDS
Open this folder and view contentsCHAPTER 11: MANAGEMENT OF MENTAL HEALTH PROBLEMS IN HIV/AIDS
Open this folder and view contentsCHAPTER 12: MANAGEMENT OF HIV INFECTED PATIENTS USING ANTIRETROVIRAL DRUGS
Open this folder and view contentsCHAPTER 13: ARV THERAPY IN INFANTS AND CHILDREN
Open this folder and view contentsCHAPTER 14: USE OF ARVS IN SPECIAL CIRCUMSTANCES
Open this folder and view contentsCHAPTER 15: HIV/AIDS AND NUTRITION
Open this folder and view contentsCHAPTER 16: MANAGEMENT OF ANTIRETROVIRAL MEDICINES
Open this folder and view contentsCHAPTER 17: CERTIFICATION OF HEALTHCARE FACILITIES AS CARE AND TREATMENT SITES
 

7.6.11 Pain control in terminally ill children

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.

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