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https://www.childrenscolorado.org/globalassets/healthcare-professionals/clinical-pathways/opioid-prescribing-practices.pdf

Opioid Prescribing Guidelines and weaning

Childrens’ Hospital Colorado’s opioid prescribing guidelines and weaning. Has some Epic integration.

https://www.iasp-pain.org/files/2017GlobalYear/FactSheets/7.%20Pediatric%20Pain.Finley-EE.pdf

Pain After Surgery in Children and Infants

Fact Sheet (3 pages) from International Association for the Study of Pain: 2017 Global Year Against Pain After Surgery. Available in several languages: https://www.iasp-pain.org/globalyear

http://ken.caphc.org/xwiki/bin/view/Paediatric+Pain/Acute+Procedural+Pain%3A+Paediatric+Recommendations+and+Implementation+Toolkits

Acute Procedural Pain: Paediatric Recommendations and Implementation Toolkits

“Children experience pain for multiple reasons in the healthcare setting; short painful procedures to help with diagnosis and treatment are one of the most common. Pain in children is stressful for the child, family and caregivers and effects of under-treatment can be negative and long-lasting. The experience of pain for a child is complex and […]

http://www.sickkids.ca/clinical-practice-guidelines/clinical-practice-guidelines/export/CLINH303/Main%20Document.pdf

Prevention and Treatment of Opioid and Benzodiazepine Withdrawal – Guideline

“The purpose of this guideline is to ensure that patients who are at risk of developing withdrawal symptoms can be weaned off opioids and benzodiazepines in a timely fashion. It is appropriate that when discontinuing opioids and benzodiazepines, practitioners are cognizant of the potential as well as the clinical effects of withdrawal.” 14 pages with […]

http://www.sickkids.ca/clinical-practice-guidelines/clinical-practice-guidelines/export/CLINH142/Main%20Document.pdf

Pain Management – Clinical Practice Guideline

“The purpose of this Clinical Practice Guideline (CPG) is to optimize the prevention, assessment and management of pain in children at SickKids. The document has been developed by an interdisciplinary group of stakeholders and has been circulated widely. The focus population for this CPG is all SickKids patients (inpatient, ambulatory and Emergency). Pain can be […]

http://www.sickkids.ca/clinical-practice-guidelines/clinical-practice-guidelines/export/CLINH143/Main%20Document.pdf

Guidelines for Pain Assessment and Management for Neonates

Assessment and management of pain in the Neonatal Intensive Care Unit (7 pages with 9 references) Clinical practice recommendations with review of evidence.

http://ampainsoc.org/uploads/get-involved/pediatric-chronic-pain-statement.pdf .

Assessment and Management of Children with Chronic Pain: A Position Statement from the American Pain Society

Position statement on pediatric chronic pain: significance, conceptualization, assessment, treatment, professional education, research, policy. PDF, 4 pages with references

http://library.childkindinternational.org/wp-content/uploads/2015/11/Comfort_menu_Riley_10_22-_Michel.pdf

Comfort Menu

A checklist or menu that parents and children can fill out to inform their health care providers of preferred options for pain management.

https://www.youtube.com/watch?v=_9_OQFo2APA

Pain Management at SickKids (YouTube video)

Short video overview of pain management for patients and parents at SickKids Hospital in Toronto, Canada. 2 min 50 sec

http://www.comfortassessment.nl/web/

Comfort Assessment: web portal for multiple resources

Training in administration and interpretation of several observational scales: COMFORT behavior scale COMFORTneo scale Sophia Observation withdrawal Symptoms-scale (SOS) SOS pediatric delirium (SOS-PD) REPOS



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