ELNEC Pediatric Module 6: Pain Management in Pediatric Palliative Care
Hours: 2.25
This module builds on basic principles of pain assessment and management with a focus on pain in palliative care uniquely fitting for neonates, infants, children, and adolescents. The interdisciplinary team and the comprehensive assessments they perform are key as they work with this population and their families to develop a plan to treat and manage pain. We are all aware of the many barriers that impede pain assessment and treatment. That is why it is vital that all healthcare professionals work collaboratively to prevent and/or decrease these barriers. Your role is very important, as you contribute your expertise in providing impeccable care to these vulnerable children to prevent suffering. The goal of this course is to provide nurses in hospice and palliative care with knowledge of pain management in pediatric palliative care.
This module builds on basic principles of pain assessment and management with a focus on pain in palliative care uniquely fitting for neonates, infants, children, and adolescents. The interdisciplinary team and the comprehensive assessments they perform are key as they work with this population and their families to develop a plan to treat and manage pain. We are all aware of the many barriers that impede pain assessment and treatment. That is why it is vital that all healthcare professionals work collaboratively to prevent and/or decrease these barriers. Your role is very important, as you contribute your expertise in providing impeccable care to these vulnerable children to prevent suffering. The goal of this course is to provide nurses in hospice and palliative care with knowledge of pain management in pediatric palliative care.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 2.25 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 2.25 Nursing Contact Hours after successfully completing this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 2.2000 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.0000 contact hours for participating in this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 2.25 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 2.25 contact hours for participating in this course.
Recall barriers to adequate pain relief in palliative care.
Describe components of a comprehensive, multidimensional pain assessment.
Describe the use of pharmacological and non-pharmacologic interventions for pain management.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview of Pediatric Pain
Pain Defined
Scope of the Problem
Barriers to Pediatric Pain Relief
Pain Myths
Neonatal and Infant Pain Myths
Special Populations
Chronic Conditions that Cause and/or Exacerbate Pain
Other at Risk Populations
Neurocognitive Impairment
Review
Summary
Section 3: Multidimensional Pain Assessment
Elements of a Multidimensional Pain Assessment
Self-Report of Pain
Beyond the Self-Report
Pain Assessment Tools
Reassessment of Pain
Communication
Review
Summary
Section 4: Principles of Pain Management
Types of Pain
Nociceptive Pain
Neuropathic Pain
Total Pain
Pain Management
Golden Rules
WHO Analgesic Ladder
Stay Ahead of Pain
Review
Summary
Section 5: Pharmacological Pain Management Techniques
Route of Administration
Opioids in Neonatal Population
Non-Opioid Analgesics
Opioid Analgesics
Warning: Opioids with Limited or “No Use” in the Pediatric Population
Adjuvant Medications
Adverse Effects
Respiratory Depression
Titration
Tolerance
Physiological Dependence and Tapering Opioids
Opioid Rotation
Equianalgesia
Review
Summary
Section 6: Non-Pharmacological Pain Management Techniques
Non-Pharmacologic/Complementary Approaches
Intractable Pain
Pain at the End of Life
Palliative Sedation: Is It a Reasonable Action in Pediatrics?
Role of the Nurse in Managing Pain
Review
Summary
Section 7: Conclusion
Course Summary
Course Contributors
Resources
References
The content for this course was revised by Amy Haskamp, MSN, RN, PCNS-BC, CPON, CHPPN.
Amy Haskamp is a Pediatric Clinical Nurse Specialist for the Pediatric Palliative Care Team (PACT) at Riley Hospital for Children at Indiana University Health Hospital. She has over 16 years of experience caring for children with cancer before joining PACT in 2014. Working with the oncology population, she became interested in pain management, psychosocial support, and pediatric palliative care. She lectures and teaches at the local, national, and international level, and has been a member of the ELNEC pediatric faculty since 2011. Ms. Haskamp is an active reviewer for pediatric palliative care education and has co-authored several publications on pediatric palliative care.The content for this course was created by The ELNEC Project Team.
Disclosure: ELNEC Pediatric 2021 has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
The ELNEC Project, which began in 2000, is a collaboration between the American Association of Colleges of Nursing (AACN), Washington, DC and the City of Hope, Duarte, CA. For more information about ELNEC, go to www.aacnnursing.org/ELNEC.
The target audience for this course is: Nurses; in the following settings: Hospice, Palliative Care.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
