Chronic Pain in Children course for Nurses
This session describes the assessment, diagnosis, formulation and management of children who have chronic pain.
Learning Objectives
By the end of this session you will be able to:
- Describe the multidimensional nature of chronic pain in children
- Explain how the biopsychosocial model of pain underpins the assessment, diagnosis, formulation and management of children's chronic pain
- List the components of multidisciplinary chronic pain management
- Describe appropriate management pathways to meet the needs of children with chronic pain and their families
Chronic pain is pain that persists beyond the expected time of healing or beyond 3 months. It can be due to injury, may be disease-related or the cause may not be known, i.e. idiopathic or functional.
Christina is a paediatric psychologist who has worked as an academic and clinician in the UK and abroad.
Her research and clinical practice dovetail and focus on three intertwined themes:
a) The cognitive and affective neuroscience of pain
b) The development of theory driven psychological interventions for the management of acute and chronic pain in young people
c) The evaluation of the efficacy and effectiveness of psychological interventions in young people’s pain management.
Christina’s randomized controlled clinical trials have been critical to the establishment of hypnosis as an evidenced-based intervention in the care of children with cancer. Christina has cared for children with various chronic medical conditions including cancer, cystic fibrosis, chronic kidney disease, epidermolysis bullosa, and sickle cell disease.
Christina has contributed to evidence-based guidelines on acute and chronic paediatric pain, pain in epidermolysis bullosa and sedation in children.
Christina has written a book on procedure-related cancer pain in children, and is a content author on the e-PAIN project.
Dilini trained in paediatrics in London with specialty posts in paediatric haematology/oncology at The Royal Marsden Hospital and palliative care medicine at Great Ormond Street Hospital. She has an MSc. in clinical neuroscience from University College, London, a diploma in palliative medicine from Cardiff University and a postgraduate certificate in pain medicine from Edinburgh University.
Dilini is one of only eight consultants in the UK specializing in paediatric palliative medicine since 2007 and has specialized in paediatric pain medicine at Great Ormond Street Hospital, providing paediatric support to the chronic pain service there since 2005.
Her research interests are pain and symptom management in life-limited children and young people.
Dilini is a content author for the e-PAIN project.
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