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Schmerzhafte interventionelle Eingriffe

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Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen

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Bis zum Schulalter fehlt es dem Kind an Einsicht, sich mit seiner Krankheit und den notwendigen Diagnostik- und Therapiemaßnahmen soweit auseinanderzusetzen, dass es diese akzeptiert. Das Erdulden schmerzhafter Prozeduren bedeutet für das Kind Stress, eine adäquate Angst- und Schmerztherapie somit Stressreduktion. Erhöhte Morbidität und Mortalität durch unzureichende Stressprävention gerade auch bei sehr jungen Patienten sind u. a. von (1987), die negativen Langzeiteffekte auf die psychische Entwicklung u.a. von der Arbeitsgruppe um (1998) eindrucksvoll beschrieben worden. Häufige, repetitive Schmerzstimuli leiten Chronifizierungsprozesse ein.

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  1. Klinik für Anästhesiologie, Op. Intensivmedizin, Schmerztherapie, Schwarzenmoorstr. 70, 52049, Herford

    P. Reinhold

  2. Evangelisches Krankenhaus, Abteilung für Anästhesie und operative Intensivmedizin, Wiedenbrücker Str. 33, 59555, Lippstadt

    P. Köster-Oehlmann

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  1. Vodafone Stiftungsinstitut und Lehrstuhl für Kinderschmerztherapie und Pädiatrische Palliativmedizin Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Dr.-Friedrich-Steiner-Straße 5, 45711, Datteln

    Boris Zernikow

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Reinhold, P., Köster-Oehlmann, P. (2009). Schmerzhafte interventionelle Eingriffe. In: Zernikow, B. (eds) Schmerztherapie bei Kindern, Jugendlichen und jungen Erwachsenen. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74065-0_13

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