Development and expansion of a pediatric transitional pain service to prevent complex chronic pain
The prevention of chronic pain is a key priority in North America and around the world. A novel pediatric Transitional Pain Service (pTPS) at the Hospital for Sick Children was established to address four main areas of need, which the authors will describe in more detail: (1) provide comprehensive m...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Pain Research |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpain.2023.1173675/full |
| _version_ | 1827775410746687488 |
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| author | Lisa Isaac Lisa Isaac Brittany N. Rosenbloom Jennifer Tyrrell Jennifer Tyrrell Danielle A. Ruskin Kathryn A. Birnie Kathryn A. Birnie |
| author_facet | Lisa Isaac Lisa Isaac Brittany N. Rosenbloom Jennifer Tyrrell Jennifer Tyrrell Danielle A. Ruskin Kathryn A. Birnie Kathryn A. Birnie |
| author_sort | Lisa Isaac |
| collection | DOAJ |
| description | The prevention of chronic pain is a key priority in North America and around the world. A novel pediatric Transitional Pain Service (pTPS) at the Hospital for Sick Children was established to address four main areas of need, which the authors will describe in more detail: (1) provide comprehensive multi-modal pain management and prevention techniques to children at-risk for the development of chronic pain, (2) provide opioid stewardship for children at-risk for chronic pain and their families at home after discharge, (3) facilitate continuity of pain care for children across transitions between inpatient and outpatient care settings, and (4) support caregivers to manage their child's pain at home. The pTPS works with healthcare providers, patients, and their families to address these areas of need and improve quality of life. Furthermore the service fills the gap between inpatient acute pain services and outpatient chronic pain services (accessible only once pain has persisted for >3 months). In pediatric patients who experience pain in hospital and who have been prescribed opioids, discharge to home or rehabilitation may represent a vulnerable time in which pain may persist and during which analgesic requirements may change. This offers an important opportunity to address and prevent the development of chronic pain, and to monitor opioids while ensuring alternative pain therapy is available. The authors will outline risk factors for persistent postsurgical pain, the development and implementation of a pTPS, present initial clinical outcomes andsuggest areas for future research in this evolving area of care. |
| first_indexed | 2024-03-11T13:49:30Z |
| format | Article |
| id | doaj.art-bfba72249a6f4a0084f4403b7f1a61c3 |
| institution | Directory Open Access Journal |
| issn | 2673-561X |
| language | English |
| last_indexed | 2024-03-11T13:49:30Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pain Research |
| spelling | doaj.art-bfba72249a6f4a0084f4403b7f1a61c32023-11-02T09:25:07ZengFrontiers Media S.A.Frontiers in Pain Research2673-561X2023-11-01410.3389/fpain.2023.11736751173675Development and expansion of a pediatric transitional pain service to prevent complex chronic painLisa Isaac0Lisa Isaac1Brittany N. Rosenbloom2Jennifer Tyrrell3Jennifer Tyrrell4Danielle A. Ruskin5Kathryn A. Birnie6Kathryn A. Birnie7Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, Toronto, ON, CanadaChild Health Evaluative Sciences, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, CanadaLawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, CanadaDepartment of Psychology, The Hospital for Sick Children, Toronto, ON, CanadaDepartment of Anesthesiology, Perioperative and Pain Medicine, University of Calgary, Calgary, AB, CanadaAlberta Children’s Hospital Research Institute, Calgary, AB, CanadaThe prevention of chronic pain is a key priority in North America and around the world. A novel pediatric Transitional Pain Service (pTPS) at the Hospital for Sick Children was established to address four main areas of need, which the authors will describe in more detail: (1) provide comprehensive multi-modal pain management and prevention techniques to children at-risk for the development of chronic pain, (2) provide opioid stewardship for children at-risk for chronic pain and their families at home after discharge, (3) facilitate continuity of pain care for children across transitions between inpatient and outpatient care settings, and (4) support caregivers to manage their child's pain at home. The pTPS works with healthcare providers, patients, and their families to address these areas of need and improve quality of life. Furthermore the service fills the gap between inpatient acute pain services and outpatient chronic pain services (accessible only once pain has persisted for >3 months). In pediatric patients who experience pain in hospital and who have been prescribed opioids, discharge to home or rehabilitation may represent a vulnerable time in which pain may persist and during which analgesic requirements may change. This offers an important opportunity to address and prevent the development of chronic pain, and to monitor opioids while ensuring alternative pain therapy is available. The authors will outline risk factors for persistent postsurgical pain, the development and implementation of a pTPS, present initial clinical outcomes andsuggest areas for future research in this evolving area of care.https://www.frontiersin.org/articles/10.3389/fpain.2023.1173675/fullchronic postsurgical paintransitional pain servicepediatricspersistent painchronic pain preventionopioid stewardship |
| spellingShingle | Lisa Isaac Lisa Isaac Brittany N. Rosenbloom Jennifer Tyrrell Jennifer Tyrrell Danielle A. Ruskin Kathryn A. Birnie Kathryn A. Birnie Development and expansion of a pediatric transitional pain service to prevent complex chronic pain Frontiers in Pain Research chronic postsurgical pain transitional pain service pediatrics persistent pain chronic pain prevention opioid stewardship |
| title | Development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| title_full | Development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| title_fullStr | Development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| title_full_unstemmed | Development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| title_short | Development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| title_sort | development and expansion of a pediatric transitional pain service to prevent complex chronic pain |
| topic | chronic postsurgical pain transitional pain service pediatrics persistent pain chronic pain prevention opioid stewardship |
| url | https://www.frontiersin.org/articles/10.3389/fpain.2023.1173675/full |
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