Acute Presenting Pain Toolkit

Last modified by Lisa Stromquist on 2017/10/10 17:23


The CAPHC Pain CoP works to improve health outcomes for infants and children by reducing pain experienced during medical procedures, healthcare interventions, and both acute and chronic conditions, disease or disability. 

About Us

The CAPHC Pain Community of Practice (CoP) represents a group of professionals, informally bound to one another through exposure to a common class of challenges and common pursuit of solutions. We have a focus on nurturing new knowledge, stimulating innovation, sharing knowledge and quality improvement. CoP outputs have included leading practices, guidelines, knowledge repositories, technical problem and solution discussions, working papers, and strategies.   The Pain CoP has chosen acute presenting pain as an area of focus. Results of a consultations with CoP members, coupled with review of currently available research has resulted in 3 key acute presenting pain management toolkits.  


We would like to acknowledge the following individuals for their leadership and expertise in the development of the Tool Kits:

Paediatric Pain Community of Practice(CoP) Co-Chairs:

Dr. Samina Ali MDCM, FRCPC(PEM), Professor, Pediatrics & Emergency Medicine, Faculty of Medicine & Dentistry, University of Alberta
Ashleigh Townley  BSc., MA.Knowledge Broker, Evidence to Care Holland Bloorview Kids Rehabilitation Hospital, Toronto, Ontario  

Tool Kit leads

Acutely Painful Presentations:

  • Dr. Naveen Poonai MSc MD FRCPC Paediatric Emergency Physician, Children's Hospital, London Health Sciences Center Associate Professor Paediatrics and Internal Medicine, Schulich School of Medicine & Dentistry, Associate Scientist, Child Health Research Institute, Research Director, Division of Paediatric Emergency Medicine.
  • Dre. Evelyne Trottier MD, FRCPC Pediatric Emergency Physician, CHU Ste. Justine Universite de Montreal, Montreal, Quebec

Acute Exacerbation of Chronic Conditions:

  • Karen Fleming RN, MN, BScN, BSc Clinical Nurse Educator, Child and Teen Program and Clinical Corporate Projects, North York General Hospital
  • Marie-Joëlle Doré-Bergeron Pédiatrie générale, Département de pédiatrie Faculté de médecine, Ste-Justine Hospital in Montréal

Peri-Operative Pain:

  • Leeann Lukenchuk RN MN NP Pediatric Acute Pain Service, Stollery Children's Hospital, Edmonton, Alberta
  • Rosa Alicia Paradelo MSc. Inf. / MSc. N. Conseillière spécialisée en soins infirmiers & Coordonatrice des stages en soins infirmiers/Clinical Nurse Specialist & Coordinator of Nursing Students Placements Hôpitaux Shriners pour enfants®– Canada

Evidence Summary:

The majority of healthcare visits in North America are related to pain, and untreated pain has consequences for children. Short-term consequences include pain and distress for the child, parents and healthcare providers, inadequate patient assessment, and slower healing. Long-term consequences include increased sensitivity to pain, healthcare avoidance, social hyper-vigilance and higher levels of anxiety before a medical visit. Expeditious and effective pain care improves patient and caregiver satisfaction, decreases the ‘wind-up’ phenomenon that can exacerbate perceived pain, and optimizes discharge times. Given their unique physiology, information relevant to the management of newborns in the first month of life is not reviewed here.

Several approaches can help to decrease the pain experienced by children in the hospital or clinic setting. Appropriately dosed, pharmacologic agents, when used in combination with physical and psychological therapies, can help optimize the acute pain experience for children. When families and health care providers listen to children’s expressed needs, and work collaboratively with them, we are able to improve the experience for all involved.

Recommendations and Toolkits:

 InterventionTools, Education, References 
Acutely Painful PresentationsWESST_Toolkit_Logo 50.jpg
Acute Exacerbation of Chronic ConditionsWESST_Toolkit_Logo 50.jpg
Peri - Operative PainWESST_Toolkit_Logo 50.jpg
Created by Lisa Stromquist on 2017/07/19 16:28