{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,3,6]],"date-time":"2024-03-06T01:58:56Z","timestamp":1709690336224},"reference-count":32,"publisher":"Mark Allen Group","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Int J Palliat Nurs"],"published-print":{"date-parts":[[2019,10,2]]},"abstract":"<jats:sec><jats:title>Background:<\/jats:title><jats:p> Many palliative care health settings that care for children and young people (CYP) at the end of life use the buccal mucosa as a route of drug administration to manage the sudden onset of symptoms, such as seizures, agitation and dyspnoea, and for breakthrough pain management. The buccal route is a minimally invasive method that delivers fast symptom relief and is useful for those with swallowing impairment or reduced enteral absorption. <\/jats:p><\/jats:sec><jats:sec><jats:title>Aim:<\/jats:title><jats:p> This paper reports on a small retrospective study involving 26 CYP who received end-of-life care between January and December 2017 to review the advantages and disadvantages of using buccal opioids for breakthrough pain relief with a focus on diamorphine as the preferred opioid. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> A retrospective case note review. <\/jats:p><\/jats:sec><jats:sec><jats:title>Findings:<\/jats:title><jats:p> This paper shares the clinical practice experiences from one UK organisation of care for CYP at the end of their lives and contributes to the growing body of pharmacological evidence. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> Buccal opioids, specifically buccal diamorphine, are an effective strategy to treat breakthrough pain or dyspnoea in CYP. <\/jats:p><\/jats:sec>","DOI":"10.12968\/ijpn.2019.25.10.472","type":"journal-article","created":{"date-parts":[[2019,11,22]],"date-time":"2019-11-22T13:58:32Z","timestamp":1574431112000},"page":"472-479","source":"Crossref","is-referenced-by-count":2,"title":["Buccal opioids for breakthrough pain in children with life-limiting conditions receiving end-of-life care"],"prefix":"10.12968","volume":"25","author":[{"given":"Cheryl","family":"Norman","sequence":"first","affiliation":[{"name":"Matron, East Anglia's Children's Hospices"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Linda","family":"Maynard","sequence":"additional","affiliation":[{"name":"Consultant Nurse, Children's Palliative Care East Anglia's Children's Hospices"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2013-304465"},{"key":"B5","volume-title":"Oxford textbook of palliative medicine","author":"Brandford R","year":"2018","edition":"5"},{"key":"B6","first-page":"CD012538","volume":"2","author":"Cooper TE","year":"2017","journal-title":"Cochrane Database Of Systematic Reviews"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.1208\/s12249-010-9546-1"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2014.0285"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S138153"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1097\/AJP.0000000000000704"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1177\/0969733014533234"},{"key":"B14","first-page":"378","volume":"234","author":"Gove LF","year":"1985","journal-title":"Pharm J."},{"key":"B15","unstructured":"Graham R, Dussel V, Wolfe J. 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