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Pharmacological Physical

Based on evidence from Clinical Therapeutics 2009 (supplement issue)

Psychological

The 4 P’s of Pain Management

Procedural

EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES FOR IMMUNIZATION PAIN MANAGEMENT IN CHILDREN

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• Step 1: Pharmacological (Pain Medicine)

• Step 2: Physical (Body Position & Activity)

• Step 3: Psychological (Thoughts & Behaviors)

• Step 4: Procedural (Injection Techniques)

4 P’S OF PAIN MANAGEMENT

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SickKids• Parent and Clinician fact sheets

http://www.sickkids.ca/Learning/Stories/Knowledge-Translation/anna-taddio.html

• Videohttp://www.aboutkidshealth.ca/En/HealthAZ/TestsAndTreatments/GivingMedication/Pages/Pain-Free-Injections.aspx

YouTube: http://www.youtube.com/watch?v=jxnDc2PxGUc

TOOLS AND RESOURCES

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SAMPLE FACT SHEET FOR PARENTS

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• Baby Rourke Recordhttp://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 Healthhttp://www.toronto.ca/health/immunization_children/howtoreducepain.htm

TOOLS AND RESOURCES

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FEASIBILITY OF IMPLEMENTATION

6Paediatrics & Child Health 2011

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STEP 1: PHARMACOLOGICAL

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STEP 1: PHARMACOLOGICAL

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STEP 2: PHYSICAL

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STEP 2: PHYSICAL

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STEP 2: PHYSICAL

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STEP 3: PSYCHOLOGICAL

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STEP 3: PSYCHOLOGICAL

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STEP 4: PROCEDURAL

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STEP 4: PROCEDURAL

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