Behavioral difficulties, sleep problems, and nighttime pain in children with cerebral palsy
Conclusions and implicationsBehavioral difficulties were reported in one in four children with CP and were associated with sleep problems and nighttime pain. Identifying and treating behavioral difficulties, sleep problems or nighttime pain is important in the care of children with CP.
CONCLUSIONS: The practice of self-medication with analgesics is frequent among patients with chronic pain, which may be due to the underprescription of more potent analgesics, such as opioids. It can also be said that, given the data presented, there is no crisis of recreational opioid use in the studied population. PMID: 31703816 [PubMed - as supplied by publisher]
LAFAYETTE, La. - A disability insurer's termination of disability benefits based on its finding that the claimant was not disabled from any occupation was not arbitrary and capricious because the insurer considered the opinion of the claimant's treating physician and the insurer based its decision on substantial medical evidence, a Louisiana federal judge said Nov. 5 (Darrell Goodman v. Reliance Standard Life Insurance Co., No. 18-623, W.D. La., 2019 U.S. Dist. LEXIS 193123).
COVINGTON, Ky. - A Kentucky federal judge on Nov. 5 denied a disability claimant's motion for judgment on the administrative record after determining that the claimant failed to prove that she is incapable of performing any reasonable occupation as defined by the disability plan (Lisa Meiman v. Aetna Life Insurance Co., No. 18-75, E.D. Ky., 2019 U.S. Dist. LEXIS 191448).
CINCINNATI - The majority of a Sixth Circuit U.S. Court of Appeals panel on Oct. 31 vacated a district court's judgment in favor of a disability insurer after determining that the insurer's denial of disability benefits was arbitrary and capricious because the insurer's decision was not the result of a deliberate, principled reasoning process regarding the claimant's ability to perform her job as a nurse (Susan Card v. Principal Life Insurance Co., No. 18-6095, 6th Cir., 2019 U.S. App. LEXIS 32573).
SAN DIEGO - A district court did not err in entering judgment in favor of a disability insurer because the disability claimant failed to prove that she was unable to perform the duties of her own occupation while she was still employed by her former employer and because the district court properly considered all of the claimant's evidence, the Ninth Circuit U.S. Court of Appeals said Oct. 18 (Kelly Demko v. Unum Life Insurance Company of America, No. 18-55428, 9th Cir., 2019 U.S. App. LEXIS 31102).
Conclusions: Half of this group of young children with CP were reported to have pain. Pain restricted the children's everyday lives and seemed to be under-treated. If pain can be addressed early, the children's everyday lives are likely to be improved. Implications for rehabilitation There is a need to early identify and treat pain in young children. Important to discuss pain with parents irrespectively of the child's age and severity level. Pain interference assessment gives valuable information. Early treatment of pain might improve children's everyday life. PMID: 31526138 [PubMed - as supplied by publisher]
Silvia Pregnolato1*, Elavazhagan Chakkarapani1, Anthony R. Isles2 and Karen Luyt1 1Department of Neonatal Neurology, Translational Health Sciences, Bristol Medical School, University of Bristol, Bristol, United Kingdom 2Behavioural Genetics Group, MRC Centre for Neuropsychiatric Genetics and Genomics, School of Medicine, Cardiff University, Cardiff, United Kingdom Preterm birth complications are the leading cause of child death worldwide and a top global health priority. Among the survivors, the risk of life-long disabilities is high, including cerebral palsy and impairment of movement, cognition, and behavior. U...
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Sleep positioning systems can be prescribed for children with cerebral palsy to help reduce or prevent hip migration, provide comfort to ease pain and/or improve sleep. As sleep disturbance is common in children with developmental disabilities, with impact on their carers' sleep, and as sleep positioning systems can be expensive, guidance is needed to support decisions as to their use
Dear Frankie, You may not know the impact you've had on my life. I have endless memories of our childhood together and I could probably write about them forever. But there are specific moments looking back that I realize just in how many ways, I am who I am because of you. One of these moments I remember quite vividly. It was a beautiful summer day and we were excited because mom had the day off. Giancarlo (our older brother) was playing with friends and so it ended up being just me, you and mom. You were in that blue stroller you used to have when you were 8 years old. With my hand on one of the h...