BC Children’s Hospital ECHO Pediatrics: Comfort with Complexity – Supporting pain and comfort management
Dates
April to November 2021
Focus:
Participants will gain knowledge through access to specialty clinical experts, an inter-professional network, and a practice community to support the delivery of best-practice care to optimize comfort for pediatric patients with a serious illness and medical complexity. Serious illness is defined as a condition that carries a high-risk of mortality in childhood that negatively impacts a child’s daily function, quality of life, or excessively stresses their parents / caregivers (Ariadne Labs. Inc., (2012).Â
Past Sessions and Resources
Presenter – Dr Hal Siden
1. Comprehend the occurrence of pediatric serious illness and medical complexity in childhood and the nature of this care population.
2.Identify the special health considerations required when caring for children with serious illness and medical complexity.
3. Apply evidence to assess and manage the care of this pediatric population more effectively.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Case Discussion
Session Summary Notes
Presenter – Tim Oberlander MD, FRCPC Complex Pain Service, BCCHR Howard Webster Professor in Brain Imaging and Child Development Department of Pediatrics BC Children’s Hospital Research Institute University of British Columbia
1. Recognize that chronic complex pain is a complex clinical care situation requiring a multi-discipline team bio-psychosocial approach when caring for children with medical complexity.
2. Apply evidence to assess and manage pediatric complex pain more effectively with medical complexity.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Case Discussion
Session Summary Notes
Presenter – Mary Coleman MSW, RSW + Beverly
1. Recognize the factors that contribute to the experiences of families living and coping with serious illness.
2.Identify provider-specific strategies to mitigate judgment and bias to remain family centered and to support families during stress and uncertainty.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Case Discussion
Session Summary Notes
Session Discussion Questions
Bereaved Parents, Hope, and Realism Article
Presenter – Dr. Peter Louie, MD, FRCPC General Pediatrics and Palliative Care Program Director Pediatric Palliative Care Clinical Assistant Professor, Faculty of Medicine UBC
1. Recognize the mechanisms and factors that lead to the development and maintenance of clinical symptoms and medical problems of children with irritability and feeding difficulties.
2. Identify targeted treatment approaches for symptom management.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Case Discussion
Session Summary Notes
Presenter – Camara van  Breemen, MN, NP(F)
1. Explain how the trajectory of grief and loss presents when a child is seriously ill.
2. Identify provider-specific strategies to support grief and loss as families endure the experience of caring for a child with a serious illness.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Case Discussion
Session Summary Notes
Presenter – MD, RCSA Medical Director, Neuromotor Program Sunny Hill Health Centre BC Children’s Hospital Division of Developmental Pediatrics Department of Pediatrics, UBC
1. Discuss symptom assessment of neonates and children with neurological symptoms that are difficult to differentiate and treat.
2. Explore treatment algorithms to guide practice.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Summary Notes
Presenter
Natasha DatooÂ
Description:
- Identify how and when to introduce pediatric serious illness conversations with families.                                                        Â
- Explain the theoretical concepts, rationale and process of the SICG-peds.Â
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Summary Notes
Presenter – Andrea Warnick
1. Discuss care in the last 48 hours.
Available Resources:
Presentation Slide Deck
Presentation Recording
Session Summary Notes
Resources from sessions:
Available resources for each session may vary. For information on available resources for a specific session, please refer to that session drop-down directly.