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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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