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Landspitali - University Hospital Frontpage

Landspitali - University Hospital

Workshop on methods for reducing pain and anxiety in children in treatment intervention

1st September 2023

08:00 to 16:00

Decode

The main topic of the seminar is the preparation of children for interventions that may cause pain and/or be anxious

Interventions related to treatment are usually what children fear the most when coming to health institutions.

What will be covered:

  • Assessment of child and family - Fear to trust continuum

  • Building trust with children

  • Arousing curiousity and engaging the child

  • Desensitisation

  • Matching

  • Attention control - distraction - deep dive - developmental tasks

  • Comfort positioning

  • Communication with children

  • Post - procedural reframing

  • Pain management and sedation before procedures

  • Implementation

The conference is in english

Program

07.45 – 08.15

08.15 - 08.20 (5 min)

Welcome and introduction

Iceland team

08.20 – 09.50 (90 min) • Understanding Procedural Distress (30 min) • Establishing Trust (60 min)

Foundations of Patient Comfort • Elements of a multimodal approach • Understanding Procedural Distress • Establishing Trust with children: Framework and methods

Piet Leroy, Baruch Krauss

09.50 – 10.10 (20 min)

Break

10.10- 11.40 (90 min) • Procedural Comfort Care (45 min) • Procedu

Foundations of Patient Comfort • Environmental control • Comfort measures • Team dynamics • Drugs and monitoring

Piet Leroy, Baruch Krauss

11.40 – 12:25 (45 min)

Lunch

12:30-2:00 (90 minutes)

Case-Based Problem Solving • Discuss the elements of a successfully managed procedure o What went well o What did go well • Identify challenges and barriers • Develop a framework for problem solving

Piet Leroy, Baruch Krauss, Iceland multidisciplinary panel

2:00-2:20 (20 minutes)

Break

2:20-3:50 (90 minutes)

Moving From Challenge to Solution - Implementing Change • Strategies for professional and educational challenges • Potential solutions • Strategies for implementation • Developing a roadmap for change

Participants will have the opportunity to discuss their needs and the specific challenges they face, and develop a strategy for implementing a set of potential solutions

3:50-4:00 (10 minutes)

Wrap up

Piet Leroy, Baruch Krauss, Iceland team

Lecturer

Piet Leroy (MD, PhD, MSc)

Piet Leroy (Belgium) is a senior consultant in paediatric critical care and director of the Paediatric Procedural Sedation Unit at Maastricht University Medical Centre, Maastricht, The Netherlands. He is an associate professor (domain of medical teaching) at the Faculty of Health, Life Sciences and medicine at Maastricht University and graduated in 2017 as a Master in Health Professions Education at the Maastricht School of Health Professions Education.

His main research topics concern delirium in critical care and procedural sedation in children. Within these fields he has published over 50 scientific papers, guidelines and book chapters and lectured at more than 100 scientific meetings over the last decade. In 2012 he obtained a PhD degree at Maastricht University with a thesis entitled ‘Improving Procedural Sedation and Analgesia in Children: from practice over evidence to practice’. He is a board member of the International Committee for the Advancement of Procedural Sedation. Currently he is setting up an interdisciplinary training and implementation program for trauma-free medical care in children.

Baruch S. Krauss (MD, EDM)

Baruch S. Krauss (USA) is a pediatrician and emergency physician at Boston Children's Hospital and an Associate Professor of Pediatrics at Harvard Medical School.

He is an international expert on the pharmacological and non-pharmacological management of acute pain and anxiety in children. His research topics are establishing trust with children, pharmacological management of procedural pain and anxiety in children and diagnostic monitoring with capnography. Within these fields he has published over 100 scientific papers, guidelines and book chapters.

Preperation committee

Karítas Gunnarsdóttir, sérfræðingur í barnahjúkrun
Oddný Kristinsdóttir, sérfræðingur í barnahjúkrun
Steinunn Snæbjörnsdóttir, svæfingarhjúkrunarfræðingur
Theódór Skúli Sigurðsson, sérfræðingur í svæfingarlækningum barna
Ásgeir Haraldsson, prófessor í barnalækningum

Grants
  • Friðrikssjóður

  • Íslensk erfðagreining

  • Fagdeildir barnahjúkrunarfræðinga, bráðahjúkrunarfræðinga, gjörgæsluhjúkrunarfræðinga, heilsugæsluhjúkrunarfræðinga, skurðhjúkrunarfræðinga og svæfingahjúkrunarfræðinga.

  • Félag barnalækna, bráðalækna, svæfingalækna og tannlækna.