Chronic pain of childhood is a complex biopsychosocial phenomenon. A multidisciplinary approach to management using a combination of psychology, physiotherapy and medications is now the standard of care. Emphasis is placed on goal-directed, self-management strategies and behaviour change designed to improve everyday function and quality of life.
Reliance on resolution of pain with medications becomes less important than return to physical and social functioning. The ability to change relies on good education, the child's motivation to get better and positive expectations that recovery will occur. Dr. Lauder will provide examples where good education, positive expectations and manipulation of motivational drivers significantly influenced the path to recovery for children/youth with chronic pain.
By viewing this presentation, you will learn:
- The importance of good quality individualized pain education.
- How to explain chronic pain to children and their families.
- How BC Children's Hospital (BCCH) have utilized a web based early intervention project "mycarepath" to improve education.
- The role of child and parent expectations in the journey to recovery
- The need to find each individual child's motivator for behavioral change.
- Clinical examples where education, expectations and motivation have influenced the journey and recovery from pediatric chronic pain.
Gillian Lauder, MB BCh, FRCA, FRCPC, CPE.
Pediatric Anesthesiologist, Director Acute Pain Service
Pediatric Complex Pain Physician, BC Children's Hospital
Clinical Associate Professor, Faculty of Medicine, University of British Columbia
Dr Lauder graduated with MB BCh degree from University of Wales Hospital of Medicine, Cardiff, UK. She trained in anesthesia from 1988 until 1998. Two years of this time was spent at Great Ormond Street Hospital, London UK, and at CS Mott Children's, Hospital, Michigan, USA. She was appointed as a consultant pediatric anesthesiologist to the Bristol Children's Hospital and faculty member of the University of Bristol in 1998. During this time she set up and lead a multidisciplinary pediatric chronic pain service. She has worked at BC Children's hospital since 2006 and therefore has over 25 years of clinical experience focused to pediatric anesthesia and pain management.
She is committed to improve the adoption of preventative multimodal strategies in acute pediatric pain management and to promote holistic strategies to address the biopsychosocial impacts that occur in pediatric chronic pain. She has a special interest in pediatric Complex Regional Pain Syndrome (CRPS), interventional blocks for pain management and ultrasound guided regional techniques.
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