#64. Prevention and Management of Procedural and Needle Pain and Anxiety Among Children
Release Date: 05/24/2021
#92. Is Physical Therapy, The Panacea of Chronic Pain?
Pedia Pain Focus
Have you ever had any of your patients say that they don't think physical therapy helps their pain? Or that the physical therapy made their pain worse? It would certainly not surprise me, if you said yes. And in that case, this is definitely is the episode you want to listen to carefully. And if your answer to my question was no, this is an episode for you too, my friend. Because sooner or later you too will join this elite club with rest of us. However, this episode will give you the framework and tools to change that in your practice. Learn it from our guest who magically...
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#91. Mental Health and Pediatric Pain; Chicken or the Egg?
Pedia Pain Focus
Pain and mental illnesses coexist, often more than any of other illnesses. Both of them have a profound effect on a child's child’s quality of life, individually. Now imagine the magnitude of impact when they co-exist. In this episode, Dr. Anjana Kundu, with guest speaker Dr. Mirabelle Mattar, a child, and adolescent psychiatrist, discusses the intricate and dynamic relationship between pediatric pain and mental health, likely cause or affect and prognosis for a child with pain in the setting of mental health issues or vice-versa. They also discussed the factors...
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#90. Can We Prevent Pain from Becoming Chronic?
Pedia Pain Focus
Acute pain may be a protective and adaptive phenomenon, but chronic pain is nothing but damaging and a burden in every way possible and for all involved directly or indirectly. So how do we reduce or can we reduce burden? Join me in this episode to learn the factors that contribute to chronicity of pain and whether we can prevent it. Takeaways in This Episode Complexities of pain and its impact for the individuals and the society What differentiates acute from chronic pain and why that is important Various factors contributing to pain and its chronicity Modifiable vs....
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#89. The Pain of Being a Redhead
Pedia Pain Focus
An anesthesiologist or a dentist might tell you that redheads need more anesthesia or local anesthetic. Yet research around their pain perception, tolerance, modulation and response to different pain medications is much more variable and complicated. Join me to learn the recent and emerging evidence about the pain among redheads and what you can do for effectively and safely managing it!
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#88. Pharmacovigilance to Evaluate Efficacy and Net Clinical Benefit in Pediatric Pain Medicine
Pedia Pain Focus
What if you had the lessons from the hindsight AND the foresight while managing children's pain? How would that change your practice? How would that change the outcomes of pediatric pain treatments?
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87. Shifting the Paradigm in Pediatric Pain Medicine
Pedia Pain Focus
Pediatric pain has long been and continues to be neglected for many reasons and because of many challenges. In this episode we discuss those factors and more importantly, the way forward to make the paradigm shift, overcoming challenges and recognizing opportunities.
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#86. Essential Elements of a Successful Patient Encounter
Pedia Pain Focus
A clinical care visit is like flying a plane. It has to be smooth (charming), safe (thorough) yet efficient and on time!
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#85. Pain Amongst Children with Autism Spectrum Disorder
Pedia Pain Focus
Rising prevalence of Autism Spectrum Disorders, contradicting opinions and misconceptions around pain sensitivity and expression among these patients pose unique challenges for clinicians.
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#84. Post-Concussive Headache and Symptom Management in Children
Pedia Pain Focus
Headache is a presenting symptom in 90% of children after a traumatic head injury and for many it may persist for years. It can be extremely debilitating and difficult to treat, posing several unique diagnostic and therapeutic challenges. Join me in conversation with Blake Windsor, MD a pediatrician with a subspecialty in training for pediatric pain medicine, a board certified headache specialist and Chief of Primas Health Pediatric Pain Medicine.
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#83. Reengineering Pediatric Perioperative Care for Optimal Outcomes
Pedia Pain Focus
Postoperative outcomes and success of the interventions is certainly dependent on the analgesia and anesthesia care, but what truly drives the outcomes is a complex interplay of biopsychosocial factors; an alignment between the patients and family's goals and medical as well as surgical interventions. How one goes about achieving that is what this episode is all about!
info_outlineEvery child inevitably would experience pain in the course of their life, but if not addresses appropriately, these experiences can have long-lasting and detrimental effects which carry into adulthood. What's even more remarkable is that healthcare experiences including what we do as part of healthcare as professionals is often a significant part of what causes pain and anxiety for children.
Efforts to minimize distress, discomfort, pain and related anxiety should be a priority in healthcare. What can healthcare professionals do to prevent, minimize, and ease a child’s fear, anxiety and pain over the medical procedures that they need to undergo as part of their treatment and care?
Join me in this episode as I talk about the prevention and treatment of pain caused by procedures within the hospital and healthcare settings with Stefan Friedrichsdorf, MD, medical director of the Center of Pain, Palliative and Integrative Medicine at the UCSF Benioff Children’s Hospitals in Oakland and San Francisco!
Dr. Stefan Friedrichsdorf, MD, FAAP is a Professor of Pediatrics at the University of California at San Francisco (UCSF).
Find out about his "Comfort Promise" and 4 simple steps that every healthcare professional should ensure to relieve or decrease pain and anxiety among kids who are undergoing treatment and minor or major procedures. Dr Friedrichsdorf shares his experiences, findings, outcomes, implementation plan and even some of the common barriers as well as ways to address them often overlooked
Takeaways In This Episode:
- How Dr. Stefan got involved in pediatric pain
- Dr. Stefan talks about the prevention and treatment of pain caused by procedures in our hospital, and the staffs
- Situations where children in hospitalized settings are experiencing pain and anxiety from their treatment procedures
- The prevention and treatment of pain and anxiety caused by needles
- What is the “comfort promise”?
- The four steps to decrease pain and anxiety caused by vaccinations?
- How to get past the barrier of having our colleagues recognize that this issue of fear and anxiety brought about by treatment procedures is an important issue?
Links
Stefan Friedrichsdorf, MD FAAP
Hospital-wide initiative to eliminate or reduce needle pain
Clinicians Pain Evaluation Toolkit
About the guest:
Stefan Friedrichsdorf, MD FAAP
Stefan Friedrichsdorf is the medical director of the Center of Pain Medicine, Palliative Care and Integrative Medicine at the UCSF Benioff Children’s Hospitals in Oakland and San Francisco. He's a Professor of Pediatric at the UCSF.
Dr. Friedrichsdorf received the 2016 “Elizabeth Narcessian Award for Outstanding Educational Achievements in the Field of Pain” by the American Pain Society and the 2011 “Hastings Center Cunniff-Dixon Physician Award”. He was the medical director of the department of pain medicine, palliative care & integrative medicine at Children’s Minnesota from 2005-2020 and under his leadership the department grew into one of the largest and most comprehensive in the country. It received the “Circle of Life Award” by the American Hospital Association in 2008 and was the 2013 recipient of the “Clinical Centers of Excellence in Pain Management Award” by the American Pain Society and in 2018 the Albert Bandura Influencer Award from VitalSmarts.
He was the associate editor of the Journal of Pain and Symptom Management until 2020, the principal investigator of a National Institutes of Health (NIH) / National Cancer Institute (NCI) multisite study on the creation, implementation and evaluation of the Pediatric Palliative Care Curriculum “Education in Palliative and End-of-Life Care (EPEC)-Pediatrics”. In 2008 he founded and since then directs the annual Pediatric Pain Master Class, a unique week-long intensive course for interdisciplinary health professionals.
Dr. Friedrichsdorf has presented more than 750 lectures about pediatric pain medicine, palliative care and integrative medicine and has a track record of research and publications in the field, including more than 60 peer-reviewed articles and contributions to more than 25 books on the subject. He is president-elect of the Special Interest Group on Pain in Childhood of the International Association for the Study of Pain (IASP).
Dr. Friedrichsdorf received his MD degree from the Medical University of Lübeck, Germany, completed his pediatric residency at the University of Witten/Herdecke, Germany (Children’s Hospital Datteln), and undertook his fellowship in Pediatric Pain Medicine and Palliative Care at the University of Sydney, Australia (Children's Hospital at Westmead). He is double boarded in Pediatrics in Germany and the United States, a Diplomate of the American Board of Pediatrics, and trained in pediatric clinical hypnosis.