#78. Remodeling Pediatric Pain Management in the Emergency Rooms
Release Date: 08/24/2021
#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...
info_outline
#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...
info_outline
#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....
info_outline
#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!
info_outline
#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?
info_outline
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.
info_outline
#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!
info_outline
#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.
info_outline
#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.
info_outline
#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_outlineWhen the gold standard for pain assessment is verbal report, children's pain assessment and management requires specific knowledge and understanding. Children at these important stages of growth create key memories-- and the last thing we need is a whole generation of children that associate getting medical attention with pain.
Globally, when children come in to the emergency room, pain is a component of their presentation 50 to 80% of the time. As medical practitioners, prioritizing the critical elements of a child’s illness should be the main concern-- but we also must ease their pain and suffering related to their health condition and prioritize minimizing their procedural pain.
In this episode, Samina Ali, MD, a pediatric emergency medicine physician and pain expert at the Stollery Children’s Hospital and University of Alberta, Canada shares her clinical and research experience in pediatric pain. Realizing that emergency room visits and procedures may have just as much capability to distress and traumatize a child beyond their presenting condition, she has dedicated her work to researching how she and fellow medical practitioners can make children and their families feel safe and empowered through institutional culture change as well as effective knowledge translation and mobilization.
In creating an ER or any healthcare setting that caters to patient comfortability beyond just treating symptoms and illnesses, we can harbor a safer and more welcoming environment which can improve children’s experiences with receiving medical care, minimizing anxiety for future encounters, improving quality, safety, efficiency of and satisfaction with the work healthcare professionals perform.
Takeaways In This Episode
- What motivated Dr. Samina to research pediatric pain and implement effective pain prevention and treatment strategies.
- Common pain presentation in the emergency department and how it may impact the work.
- Top reasons why pediatric pain may not get the needed priority and how practitioners handle competing priorities among patients in the emergency room
- What the big leap of faith in pediatric healthcare is and how that affects pediatric pain.
- Successful approaches she has spearheaded within her institution and beyond for better pediatric pain care
- Helpful steps to help other practitioners engage in pain care efforts
- Factors that result in or lead to disparities in pediatric pain care
- The two main benefits of prioritizing pediatric pain care
- Her view on advanced technology-based interventions and their roles
- The common barriers in emergency rooms and how can they be addressed
- Engaging administration to facilitate a top-down approach
- Leveraging patients and their families voices to invoke change
- Dr. Samina Ali’s message to the listeners
Links
Ep 64: Prevention and Management of Procedural and Needle Pain and Anxiety Among Children
Solutions for Kids in Pain (SKIP)
Translating Emergency Knowledge for Kids - Procedural Pain
Translating Emergency Knowledge for Kids - Pain Treatment
Clinicians’ Pain Evaluation Toolkit
About the Guest
She is a professor of Pediatrics and Emergency Medicine at the School of Medicine and Dentistry at the University of Alberta in Edmonton, Canada. She is also the research director at Pediatric Emergency Department Medicine. She holds provincial and national funding for the study of children's acute care and emergencies and pain in the country and supervises many learners with both clinical and research backgrounds.
She has served as the director for pediatric emergency medicine from 2003-2008 and again, from 2010-2013. She was also the Director of Professionalism for the University of Alberta from 2010-2013, and also serves as the Assistant Dean for Professionalism for the Faculty of Medicine and Dentistry.
As a practicing pediatric emergency physician, she is witness to the pain children experience from illnesses, injuries, and emergency room procedures. She has created a research program focused on improving children's pain and distress, mainly related to emergency department visits and procedures, and she shares many of those ways to improve pain experiences for the children, both in the hospital and in the community. In addition, she has been recently involved in the Canadian large effort for knowledge mobilization and knowledge translation in relation to her efforts in alleviating children’s distress and empower them and their families.