![]() A physician's guide to pain and symptom management in cancer patients: JHU Press 2015. Does Opiophobia Exist Among Pain Specialists? Journal of Pain & Palliative Care Pharmacotherapy. Reaffirming the benefits of morphine to beat opiophobia. Geneva: World Health Organization,(c) World Health Organization. WHO guidelines for the pharmacological and Radiotherapeutic Management of Cancer Pain in adults and adolescents. Alleviating the access abyss in palliative care and pain relief-an imperative of universal health coverage: the Lancet Commission report. Melanie Brown, a palliative care specialist at the University of Chicago's Comer Children's Hospital, said she's never had parents ask her to end their child's life, but the general topic has come up.Knaul FM, Farmer PE, Krakauer EL, De Lima L, Bhadelia A, Kwete XJ, et al. Also, many doctors are uncomfortable discussing such issues.ĭr. ![]() Wolfe said the study highlights the challenges of treating dying children: Parents cannot tolerate seeing their children suffer and do not know about all the legal options for pain relief, which can include sedating children into unconsciousness. Susan Sencer, a cancer specialist there who did not take part in the study, said in a text message that doctors will often tell parents this when dying children are suffering: "'To alleviate pain and suffering we may need to increase the narcotics increasing the narcotics may result in respiratory depression, which may hasten death,' so that they are aware of the trade-off." The third hospital was Children's Hospitals and Clinics of St. She said she could not comment when asked if she knew of any cases occurring at her hospitals, which both were involved in the study. Wolfe said in an interview that euthanasia "is going beyond a moral stance that I hold for myself in terms of controlling when a person dies." ![]() The boy had soft-tissue tumors that threatened to spread to his throat and choke him. Reilly was not part of the study, but Wolfe, the study author, treated his son. "If there was absolutely no other option, and the patient is suffering, then why wouldn't you" hasten death? said David Reilly, a Boston-area man whose 5-year-old son died of cancer 11 years ago. Parents of five children said they had explicitly requested euthanasia for their dying children, and parents of three said it had been carried out, with morphine. It was based on interviews with parents of 141 children who had died of cancer and were treated at three hospitals, in Boston and Minnesota.Īmong parents studied, one in eight, or 13 percent, said they had considered asking about ending their child's life, and 9 percent said they had that discussion with caregivers. The study was published Monday in the March edition of Archives of Pediatrics & Adolescent Medicine. "Most physicians don't intentionally push that drug to the point of stopping a child's breathing, but some may be comfortable not intervening if a child stops breathing in the course of treating him or her for discomfort," Diekema said. This might include giving a drug for sedation or pain control that also suppresses the drive to breathe. "I have no doubt that in a small number of cases, some physicians might cooperate with a parent's desire to see a child's suffering ended.
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