User:Jennac1117/sandbox

= Pain management in children. =

Peer Review-Chiamaka Olewuenyi

 * 1) First, what does the article do well? Is there anything from your review that impressed you? Any turn of phrase that described the subject in a clear way?
 * 2) Clear, concise sections; good divisions
 * 3) What changes would you suggest the author apply to the article? Why would those changes be an improvement?
 * 4) In the lead, expand more on the importance/ relevance of of the topic
 * 5) In the History section, it focuses mainly on history of the classification of pain and not necessarily the pain classification in relation to children. Possibly try to make that connection or remove the section entirely.
 * 6) The "during treatment section"-
 * 7) A physical therapist uses play as part of a child's treatment plan: Expand or explain this statement more.
 * 8) Better introduce this section.
 * 9) A section about
 * 10) "long term effects of pain in children"
 * 11) expand on the challenges in assessing and identify pain in children
 * 12) what advances/improvements have been made in this area
 * 13) new approaches to identifying and managing pain
 * 14) What's the most important thing the author could do to improve the article?
 * 15) Addition of more in-text references/sources to prevent some of your statements from seeming opinion-like.

After procedures
Post-procedural treatment in children is primarily prescription opioids, however, alternative interventions have slowly been introduced to adolescents.

Different treatment options include: 'All of these are examples of mindfulness-based interventions, which are currently being explored as alternatives to pharmacotherapy. These interventions explore different ways for children and adolescents to manage pain and relieve emotional distress without relying on opioids. (Ruskin) However, other interventions include medications classified as non-opioid analgesics, which are useful in post surgical treatment. (https://journals.lww.com/anesthesia-analgesia/Abstract/2005/11001/The_Changing_Role_of_Non_Opioid_Analgesic.2.aspx)'
 * Participation in focus groups
 * Group and individual therapy
 * Classes structured around living with chronic pain

Pharmacotherapy abuse
'Over the past 30 years, opioid prescription rates for pain management treatment in children and adolescents have increased by almost 50% across the United States. (Mazer) Currently, the rates of reported pain remain steady, but abuse and subsequent teen death rates have risen. (https://www.cdc.gov/drugoverdose/data/prescribing.html)'

The number one way teens obtain opioids is from a previous prescription or from a friend or relative with an opioid prescription, however other routes of obtaining opioids include: An important factor to note is the difference between dependence and abuse. While many adolescents are dependent on opioids for pain management, not all of them abuse them.... (https://www-sciencedirect-com.ezproxy.neu.edu/science/article/pii/S0890856708600787)
 * Stealing from a friend or relative,
 * Purchasing from a friend of relative, and
 * Purchasing illegally(https://journals.lww.com/anesthesia-analgesia/Abstract/2005/11001/The_Changing_Role_of_Non_Opioid_Analgesic.2.aspx)