Pain Management and Palliative Care

Pain Management and Palliative Care integrates acute and chronic pain strategies with palliative approaches that focus on symptom relief, quality of life and family-centred decision-making across serious pediatric illness. This session is aimed at pediatric pain specialists, palliative care clinicians, oncologists, anesthesiologists, nurses and allied professionals who provide symptom management and supportive care. Presentations will cover multimodal analgesia, non-pharmacologic interventions (CBT, physiotherapy, integrative therapies), interventional options for refractory pain, and opioid-sparing strategies that balance efficacy with safety. Palliative tracks will explore early integration of palliative principles, symptom control across the disease trajectory, communication around goals of care and bereavement support for families.

Workshops will include procedural pain-minimisation techniques for infants and children, protocols for titration and monitoring of analgesics, and frameworks for advance care planning that respect cultural and family preferences. Case-based panels will highlight complex symptom management—refractory dyspnoea, neuropathic pain and cachexia—and demonstrate interdisciplinary pathways that combine medical therapy, rehabilitation and psychosocial supports. Ethical sessions will address decision-making capacity, assent/consent in adolescents and approaches to existential distress. Implementation resources include pain assessment tools validated for various ages, palliative care checklists, symptom management algorithms and templates for family communication and documentation.

Key Topics Covered

Acute & Procedural Pain Management

  • Age-appropriate analgesia protocols, topical and local techniques to reduce procedural pain
  • Non-pharmacologic adjuncts: distraction, sucrose, and parent coaching strategies

Chronic & Neuropathic Pain

  • Multimodal regimens, physiotherapy integration and psychological interventions for chronic pain
  • Interventional options and neuromodulation for refractory pediatric pain syndromes

Palliative Symptom Management

  • Dyspnoea, pain and nausea protocols with opioid-sparing approaches where possible
  • Home-based symptom support, hospice integration and bereavement resources

Communication, Ethics & Family Support

  • Advance care planning, goals-of-care conversations and cultural competence in decision-making
  • Documentation templates, family support networks and transition of care strategies

Clinical Impact & Practical Takeaways

Better Procedural Experience
Standardized techniques and parent coaching reduce pain and procedural distress for children.

Improved Chronic Pain Outcomes
Multidisciplinary pain programs restore function and reduce reliance on high-risk medications.

Holistic Palliative Support
Early palliative integration improves symptom control, family satisfaction and continuity of care.

Clearer Communication
Structured advance care and goals-of-care frameworks support shared decision-making and reduce family distress.

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