#69. Changing the Culture of Pediatric Pain at Institutional Level
Release Date: 06/29/2021
#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_outlinePediatric pain has been left on the back burner for decades now-- where many clinicians 30 years ago thought that infants did not feel pain. With the progress made, both in pain management and technology, it’s about time that we call institutions to shift the culture, so we can work towards making pain visible-- so we can provide comfort to children patients that they desire and deserve.
In this episode, I’ve brought back Dr. Neil Schechter, to discuss his endeavor, ChildKind International. This passion project of his aims to have an open-access library to serve as a clearinghouse for information on pediatric pain research, and can serve as a reference to improve children's pain management.
ChildKind offers a certification for hospitals based on their commitment to and availability of certain measures to address pediatric pain and comfort adequately. Being certified, fosters trust from parents, promoting a positive experience for both patient and parent. In addition, with a pain management system throughout the institution contributes to higher staff retention and lower healthcare provider burnout.
With this huge step forward in creating accessible pain care, it’s up to us as clinicians to offer the same amount of care for our patients regardless of where they present for their care -- because it is not only the pain team or service's responsibility. It is all our responsibility.
Takeaways In This Episode
- The current practices of handling pediatric pain
- What Childkind International is and what led to its creation
- How to enact change within the institution
- ChildKind’s mission and 5 Principles
- ChildKind’s role in promoting change and its benefits
- The importance of change from the top-down and bottom-up
- Pediatric pain is everyone’s responsibility
- Dr. Schechter’s hopes for ChildKind and all healthcare institutions
Links
Connect with ChildKind International: Facebook Instagram
Pedia Pain Focus Epi # 53. Are you making the most of your "Golden Half-Hour" with your pain patients?
Proactive Pain Solutions Physicians Academy
Clinicians’ Pain Evaluation Toolkit
About the Guest
He is the President and CEO of ChildKind, an international organization dedicated to improving the quality of pediatric care. Currently, he directs the Chronic Pain Program at Boston Children’s Hospital and is an Associate Professor of Anesthesia at Harvard Medical School. Dr. Schechter graduated with a medical degree and completed pediatric training at the University of Connecticut. He also did his fellowships at Children’s Hospital and Harvard University in Boston.
His research initially focused on documenting the under-treatment of pain in children and issues of pain that are associated with chronic disease. His research, later on, shifted to the common pains connected to pediatric practice and to create procedures to improve pain-related practice patterns in health care providers and institutions.
Dr. Schechter is a passionate advocate for the betterment of pediatric pain care which allowed him to serve as a member of editorial boards and experts committees including the World Health Organization Committee and Palliative Care and the Task Force on Chronic Pain in Children of American Pain Society. He has also been the recipient of the Jeffrey Lawson Award for Advocacy in Children’s Pain Relief from the American Pain Society.