© 2005 BMJ Publishing Group & Royal College of Paediatrics and Child Health
PERSPECTIVE
Chronic pain
Managing chronic pain in children: the challenge of delivering chronic care in a "modernising" healthcare system
Correspondence to:
Correspondence to:
Prof. C Eccleston
Director, Pain Management Unit, University of Bath, The Royal National Hospital for Rheumatic Diseases NHS Trust, Bath, UK; c.eccleston@bath.ac.uk
Commentary on the paper by Lindley et al (see page 335)
Keywords: pain
| The first 150 words of the full text of this article appear below. |
An alliance between the healthcare professional, the patient, and the family is at the heart of effective and humane childhood medicine. When patients complain about doctors, and doctors complain about patients, this essential therapeutic alliance has been ruptured or even destroyed. Reason is usurped by fear and concordance gives way to paternalism. It should be remembered that patients often complain about doctors for the same reasons that doctors find some patients difficult to help: when patients don’t get better and they are distressed by it.1
Drs Lindley, Glaser, and Milla have provided an interesting descriptive account of a selection of the behaviour of a small number of parents with children referred to a single paediatric gastroenterologist at a tertiary referral centre, bringing to our attention issues that should be debated further.2 I have brief comments on only two of these issues; other correspondents may wish to raise more.
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