Pain Management Program

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Dayton Children's innovative "Pain Busters' pain management program manages a child's pain during common medical procedures like IV insertions and blood draws, which are among the most frequently reported painful events in hospitalized children. No child should suffer when his or her pain can be decreased or relieved. The objective of Pain Busters is to provide that relief using multiple pain management techniques.

Services We Offer 

A pain management plan written for your child based on age, what's wrong and the type of procedure.  Different techniques are used to manage your child's pain. 

They are as follows: 

  • Preparing you and your child for the procedure--which decreases your child's uncertainty
  • Coaching before, during and after the procedure on supporting your child which makes you less anxious
  • Distracting your child from an uncomfortable procedure. Distraction could include blowing bubbles, singing or playing a video game.
  • Positions of comfort to help your child feel in control.  Sitting in your lap, hugging, or holding hands have been shown to decrease the perception of pain in young children
  • Sedation and medications to help your child relax
  • Numbing the skin before the procedure

How do you know if my child is in pain?

Sometimes it is hard to know if your child is in pain. Each child feels pain differently and may express it differently. Parents or caregivers usually know when their child is in pain and can be very helpful to the staff at Dayton Children’s. 

First, we will ask you and your child, when appropriate, about pain. Talking about how your child is feeling is important in managing pain. We will ask both of you about the pain that is being felt. It will depend on the age of your child as to what questions are asked.

We may ask:

  • Where does your child hurt?
  • What words does your child use for pain?
  • How would you describe your child's responses to pain?
  • Is this the first time your child has had a painful procedure?
  • How do you comfort your child when he or she is in pain?

Second, our staff will use a pain scale for your child to rate his or her pain. The scale used depends on the child and his or her age. Our staff will watch your child’s movements and behavior, talk to your child and check his or her vital signs to see how much pain he or she feels. 

How can I help if my child is in pain? 

It is your child’s right to get relief from pain during procedures. It is your and your child’s responsibility to tell our staff about pain and if the pain is being relieved. 

Meet Our Pain Busters Team

The staff who developed the pain management program include those most knowledgeable of the techniques that work best to relieve or reduce a child's pain.  They include:

Laurence Kleiner, MD -- neurosurgery
Amit Vohra, MD -- pediatric intensive care unit
Thomas Krzmarzick, MD -- Soin Pediatric Trauma and Emergency Center
Cindy Brown, RN -- nursing administration
Pam Bucaro, RN -- Soin Pediatric Trauma and Emergency Center
Stacy Roehrs - pharmacy 

Chronic Pain Services

Dayton Children’s chronic pain team is available to meet the needs of patients who have chronic pain issues.

The word “pain” has been difficult to define.  Often times, it is defined as an “unpleasant experience, where physical problems may or may not be present.”  Reactions and tolerance to sudden or chronic pain situations may vary tremendously among people.  Fifteen – twenty% of all children and thirty – forty% of teenagers have chronic pain.  Chronic pain is usually pain that lasts consistently longer than 1 month.  The most common non-injury produced types of chronic pain in children are headaches, belly/pelvic pain and back/arm/leg pain.  We do know that the brain is where most pain starts and that many other chronic pain disorders may be present in family members.

Who is on your chronic pain team?

  • A board certified child neurologist with 30 years experience in head and other pain management.
  • Two Advanced practice nurses; A nurse practitioner who works in the outpatient setting and a clinical nurse specialist who evaluates patients on the inpatient units/outpatient setting.
  • A psychologist who works to help your child with their feelings about chronic pain.
  • A MT is available two days per week on a consult basis and a list of MTs available in the Miami Valley region is provided to families to access outpatient MT
  • A dietitian who provides guidance regarding nutritional changes and supplementation that may help with chronic pain.
  • A rehab therapist who provides exercise therapy and information regarding regular physical activity.
  • A pharmacist who may be consulted to review and recommend chronic pain medications.
  • Various other consultative services including an interventional pain specialist and a chiropractor.

How do we access the chronic pain team?

The inpatient team will be consulted by your child’s attending doctor.

The outpatient team can be accessed by referral from your primary care provider.

An initial outpatient consultation is scheduled with Dr. Lacey in the Neurology clinic and subsequent visits are scheduled with Dr. Lacey or the nurse practitioner/clinical nurse specialist.

If you have questions about your child’s treatment plan or need medication dose changes, contact:

Cindy Brown, RN, CNS

brownl@childrensdayton.orgor

(937-641-3000 x8934/work) or

(937-216-0918/cell – 24/7)

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Pediatric experts in more than 35 specialty areas

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The Children's Medical Center of Dayton Dayton Children's
The Right Care for the Right Reasons

One Children's Plaza - Dayton, Ohio - 45404-1815
937-641-3000
www.childrensdayton.org