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Dr Nancy Hutton: Harriet Lane Compassionate Care Team, Johns Hopkins - PowerPoint PPT Presentation

Dr Nancy Hutton: Harriet Lane Compassionate Care Team, Johns Hopkins Joan Marston : International Childrens Palliative Care Network ! Published on the WHO website 2012 ! Identify a Research agenda ! Linked E-Learning module on


  1. Dr Nancy Hutton: Harriet Lane Compassionate Care Team, Johns Hopkins Joan Marston : International Children’s Palliative Care Network

  2. ! Published on the WHO website 2012 ! Identify a Research agenda ! Linked E-Learning module on www.icpcn.org.uk

  3. 1 st step – non-opioids: Ibuprofen and Paracetemol 2 nd step – opioid eg morphine No universally suitable medication available at present for children under 10 years for a middle step.

  4. Tramadol – not licensed in many countries for under 12 years Codeine – danger of metabolic variation, poor or no pain relief, and toxicity

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