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Evidence-based clinical practice guidelines for immunization pain management in children

Evidence-based clinical practice guidelines for immunization pain management in children. The 4 P’s of Pain Management. P harmacological. P hysical. P sychological. P rocedural. Based on evidence from Clinical Therapeutics 2009 (supplement issue). 4 p’s of pain management.

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Evidence-based clinical practice guidelines for immunization pain management in children

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  1. Evidence-based clinical practice guidelines for immunization pain management in children The 4 P’s of Pain Management Pharmacological Physical Psychological Procedural Based on evidence from Clinical Therapeutics 2009 (supplement issue)

  2. 4 p’s of pain management • Step 1:Pharmacological (Pain Medicine) • Step 2:Physical (Body Position & Activity) • Step 3:Psychological (Thoughts & Behaviors) • Step 4: Procedural (Injection Techniques)

  3. tools and resources • SickKids • Parent and Clinician fact sheets http://www.sickkids.ca/Learning/Stories/Knowledge-Translation/anna-taddio.html • Video http://www.aboutkidshealth.ca/En/HealthAZ/TestsAndTreatments/GivingMedication/Pages/Pain-Free-Injections.aspx YouTube: http://www.youtube.com/watch?v=jxnDc2PxGUc

  4. Sample Fact sheet for parents

  5. tools and resources • Baby Rourke Record http://www.rourkebabyrecord.ca/pdf/RBR2011Nat_Eng_High.pdf • Immunization Competencies Education Program http://www.advancingpractice.com/p-68-immunization-competencies-education-program.aspx • Toronto Public Health http://www.toronto.ca/health/immunization_children/howtoreducepain.htm

  6. Feasibility of implementation Paediatrics & Child Health 2011

  7. Step 1: pharmacological

  8. Step 1: pharmacological

  9. Step 2: physical

  10. Step 2: physical

  11. Step 2: physical

  12. Step 3: psychological

  13. Step 3: psychological

  14. Step 4: procedural

  15. Step 4: procedural

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