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Living with pain: the experience of children and adolescents in palliative care* * Extracted from the dissertation “Convivendo com a dor: a perspectiva da criança e do adolescente em cuidados paliativos”, School of Nursing, University of São Paulo, 2012

Vivir con dolor: la experiencia de los niños y adolescentes en los cuidados paliativos

A qualitative study was conducted with semi-structured interviews with the aim of understanding the experience of children and adolescents under palliative care when managing pain daily and how they describe the intensity, quality and location of pain. We used Piaget’s theory of cognitive development as a theoretical framework and oral history as a methodological framework. We found four themes: describing pain; seeking a life closer to normality, despite pain and disease; using a variety of alternatives for pain control; and living with damaged physical appearance. Although pain is a limiting factor in the lives of children and adolescents, we found that they faced their daily pain and still had a life beyond pain and illness. In addition, we highlight the relevance of nurses’ understanding that effective management of pain in children is essential for a normal life and less suffering.

Child; Adolescent; Pain management; Palliative care; Self-image; Pediatric nursing


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