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Children with severe neurological impairment frequently experience pain, often cannot tell us where it hurts, and standard approaches offer little relief. In this webinar, we will review pain in this context. We will provide new ways to think about pain and approaches to assessment and management in this highly vulnerable population when good therapy doesn’t seem to be working.
Tim Oberlander and Hal Siden have been working in this field for a long time and often find themselves stuck in therapeutic ‘rabbit holes’. They look forward to having a thoughtful conversation on this topic that is so important to many families and clinicians alike.
When: Wednesday, November 10, 2021
Time: 11 a.m. - 12 p.m. EST
Learning Objectives:
Describe the subtleties of pain and irritability behaviours in children with neurological impairment.
Describe how the pathway, which is core to the study, grew out of our clinical and research experience.
Show how research and clinical work synergize in improving our understanding and care of children (and others) with complex conditions.
Speakers
Harold Siden
Hal Siden is a Clinical Professor in the Department of Pediatrics at the University of British Columbia. He is also the Medical Director for Canuck Place Children's Hospice, and Division Head, Palliative Medicine at BC Children's Hospital, both located in Vancouver, British Columbia. Hal has expertise in pediatric palliative care and pain management. He has worked for 20 years with children living with complex conditions and life-threatening diseases. He has a particular interest in pain assessment and pain management. Pain is not well understood in children who are cognitively normal, and is very poorly understood in children with neurological conditions; finding new treatments and tools for assessing pain is therefore important and much of his research is focused in this area.
Tim Oberlander
Tim Oberlander is a physician-scientist whose work bridges developmental neurosciences and community child health. As a clinician he manages complex pain in children and has a particular interest in managing pain in children/youth with developmental disabilities. As a researcher, his primary interest has been in studying how early life experiences shape stress/pain and related neurobehavioral outcomes during childhood. His work extends from molecular/genetic studies to population epidemiological studies that characterize neurodevelopmental pathways that reflect risk, resiliency and developmental plasticity. Outcome measures include studies of pain reactivity, attention, mood and executive functions across early childhood. The goal of Tim’s work is to understand how and why this happens.