Understanding the Pain Behaviors of Nonverbal Children with Intellectual Disability by J. Solodiuk

This video is a part of our Pain Series. In this episode, Dr. Jean Solodiuk reviews approaches to the recognition and assessment of pain in children with intellectual disability. Dr. Solodiuk describes ways to define and measure pain in an individualized fashion, discusses collaborative approaches to pain management involving caregivers, and illustrates these principles using case examples. The Pain Series is funded through the generosity of the MAYDAY Fund, which has, over the years, supported investigators and projects that have dramatically improved the pain management of children throughout the world. LEARNING OBJECTIVES Upon viewing this presentation, participants will be able to: • Recognize the sources of complexity in defining the pain experience in children with intellectual disability • Apply an individualized approach to describing pain behaviors and severity for medically complex patients • Develop strategies to include caregivers in the assessment and management of pain CHAPTERS 00:00 Introduction 01:05 Behavior never lies 04:14 Definitions and overview 12:05 Pain assessment scales 14:49 Pain in children with medical complexity 19:21 Case Study #1 24:43 Understanding the pain behaviors of nonverbal children with intellectual disability 31:13 Case Study #2 ARTICLES REFERENCED • 2:00 McCrea RT, Tanke DH, Buckley LG, et al. Vertebrate Ichnopathology: Pathologies Inferred from Dinosaur Tracks and Trackways from the Mesozoic. Ichnos 2015;22:3-4,235-260. • 8:31 Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150(3699):971-979. • 34:40 Morse BL, Solodiuk JC, Greco CD, Mauskar S, Hauer J. Initial Validation of GRASP: A Differential Diagnoses Algorithm for Children With Medical Complexity and an Unknown Source of Pain. Hosp Pediatr. 2020;10(8):633-640. DATES Initial publication date: December 22, 2022 CITATION Solodiuk J, Perez C, Daniel D, Wolbrink TA. Understanding the pain behaviors of nonverbal children with intellectual disability. 12/2022. Online Video. OPENPediatrics. https://youtu.be/-3dxNVOZv-Y. Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu