Link

2nd Congress on paediatric palliative care - a global gathering, Rome 19 th - 21st November 2014; Auditorium Antonianum

Here are the handouts of my presentations and further information:

(1) The Education in Palliative and End of Life Care (EPEC) – Pediatrics: Behavior Change in Pediatric Palliative Care (PPC) through a “Train-the-Trainer” Program

Click on link here: HANDOUT EPEC Pediatrics Friedrichsdorf

 INTERESTED? Becoming a “Trainer”? Adapt curriculum for your own country?

Next “EPEC-Pediatrics Train-the-Trainer” conferences:

English: May 4-5, 2015 in Phoenix, AZ (USA)

Spanish: Sept 2015, Montevideo (Uruguay)

website: http://epec.net/epec_pediatrics.php

eMail: EPEC.Pediatrics@childrensMN.org

 

(2) Integrative Therapies in Pediatric Palliative Care: Hypnosis

Click on link here: 02 Hypnosis Friedrichsdorf HANDOUT

Further links:

Australian Pain Society: Integrative (non-pharmacological) therapies in managing acute, chronic and procedural pain in children. July 2014 (blog): http://blog.apsoc.org.au/2014/07/02/integrative-non-pharmacological-therapies-in-managing-acute-chronic-and-procedural-pain-in-children/

Minneapolis/St.Paul Magazine: Horst Rechelbacher’s legacy: $ 3.1 Million New Healing Environment Pain, Palliative & Integrative Medicine Clinic at Children’s of MN (Oct 2014) http://mspmag.com/Out-And-About/Articles/Features/Horst-Rechelbacher-s-Legacy/

Australian Pain Society: Reducing and eliminating procedural pain related to needles: The Four essential (non-negotiable) components. Aug 2014 (blog): http://blog.apsoc.org.au/2014/08/21/reducing-and-eliminating-procedural-pain-related-to-needles-the-four-essential-non-negotiable-components/

Stefan J. Friedrichsdorf, MD, FAAP
Medical Director | Department of Pain Medicine, Palliative Care & Integrative Medicine | Children’s Hospitals and Clinics of Minnesota
Associate Professor of Pediatrics, University of Minnesota Medical School

 
Children’s Hospitals and Clinics of Minnesota
2525 Chicago Ave S | Minneapolis, MN 55404
612.813.6450  phone | 612.813.7199  fax
stefan.friedrichsdorf@childrensMN.org



SAVE THE DATE: 

Education in Palliative & End-of-life Care [EPEC]: Become an EPEC-Pediatrics Trainer |Phoenix, AZ, May 4-5, 2015

Center to Advance Palliative Care (CAPC) – Pediatric Palliative Care Leadership Center (PCLC) Training Minneapolis, MN Dec 10-12, 2014

8th Annual Pediatric Pain Master Class Minneapolis, MN | June 20-26, 2015 


Senior Administrative Assistant:
Katie McGuire | 612.813.6405  phone 
katie.mcguire@childrensmn.org



Twitter: @NoNeedlessPain


 

Link

Save the Date!  8th Annual Pediatric Pain Master Class: June 20-26, 2015

Marquette Hotel, Minneapolis, MN (USA)

 
Course Description: The Pediatric Pain Master Class offers State of the Art education in pain management for the pediatric patient from a holistic and interdisciplinary perspective. The program features a faculty of internationally recognized experts, who will cover pharmacological, medical, psychosocial and integrative therapies in the management of children’s acute, procedural, and complex/chronic pain. Pain assessment and management of somatic, visceral, neuropathic, psychosocial and spiritual pain as well as end-of-life management of pain and distressing symptoms will be explored in depth using lectures, workshops, and a small-group approach.
 
Registration opens December 1, 2014
Details to follow

Here is the previous (2014) Agenda - (Click to download): Brochure 7th Annual Ped Pain Master Class 2014

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SCHOLARSHIP for 8th Pediatric Pain Master Class plus 1-week Practicum June 15-26, 2015 for Physicians from low-moderate income countries: Guidelines available at:

Past Scholars include:
 
2014: Wendy Cristhyna Gómez García, MD, Dr. Robert Reid Cabral Children’s Hospital, Dominican Republic 

 

2014: Cornelius Kondwani Huwa, MD. Queen Elizabeth Central Hospital, Palliative Care Support Trust, Malawi

2013: Mercedes BernadaMD. Professional Faculty, Department of Pediatrics, Central Hospital Pereira Rossell, Uruguay

2013: Catherine Segbefia, MD. Clinical Tutor, Department of Child Health, University of Ghana School of Medicine, Ghana

2012: Juan Carlos Irola Moya, MD. Pediatric Palliative Care Physician, National Children’s Hospital, Costa Rica

2012: Julius X. Scott, MD, Associate Professor, Pediatric Hematology/Oncology, Sri Ramachandra Medical University, India

2012: Damte Shimelis, MD, Department of Pediatrics and Child Health, Addis Ababa University, School of Medicine, Ethiopia

2011: María Carolina Kamel, MD, Medical Supervisor Pediatrics & Assoc. Clinical Officer, Miguel Pérez Carreño Hospital, Venezuela

2011: Anna Sonkin, MD, Attending Pediatric Physician, Moscow Scientific-Practical Center for Pediatric Cranio-Facial Surgery/Neuropathology, Russia

2010: Linge Gowda, MD, Professor and Head, Kidwai Memorial Institute of Oncology, Bangalore, India

2010: Jinxiang Li, MD, Department of Palliative Medicine, The West China Fourth Hospital of Sichuan University, China

2009: Michelle Meiring, MD, Pediatric Physician, Bigshoes Paediatric Palliative Care Services, Capetown, South Africa

2009: Thao Tran, MD, Pediatric Physician, Pham Ngoc Thach University of Medicine Children’s Hospital, Vietnam

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7th Annual Pediatric Pain Master Class – Selected Participant Comments

  • This was an amazing class. I learned so much that is directly applicable to my own practice, both to the whole program and individual patients. I am inspired and rejuvenated to return to work. Mary Beth Chrismaeich, MD, St. Louis, MO
  • Stefan is a wonderful and innovative teacher, but even beyond that he really does bring the best people on the planet to teach the various domains in the course. Caitlin Neri, MD, MPH, Boston, MA
  • I loved all the resources provided. The fabulous networking activities were a great touch to make it even more special. Thank you! I will recommend this conference to my colleagues. Life changing! Anonymously
  • The lectures and experimental activities are based on equal parts compassion and evidence best practice… Sarah Fehr, RN, MSN
  • The lessons are largely practical and applicable even in my setting in Malawi. This will change the way pain is managed and viewed in children in Malawi. Cornelius Huwa, MD, Blantyre, Malawi (Africa)
  • I have gained knowledge and skills that I will start using Monday morning…My patients and their families are no doubt better off as a result of me taking this master class. Dr. N.P., Mesa, AZ
  • It is not often in our professional career that we have the fortune to experience a comprehensive course by worldwide experts in one location. Rebekah Holpira
  • Thanks for helping instill confidence in my management and my ability to affect change in pain management within my own institution. Mona Reed, MD
  • The days are long, but the learning is immense and relevant, fun and immediately usable. After a long day, you leave the course feeling energized and ready to begin again in the morning. Anonymously
  • Our days were filled with superb speakers who were all masters of their craft, simple to complex material was effectively communicated with innovative learning strategies and resources were provided to prepare us to be change agent for our return home. Debra Davis, APRN
  • Phenomenal, comprehensive, evidence-based, well-organized course … everything needed to start a pain program or to enhance / grow an existing program. S.D., NY, USA
  • I feel significantly more competent to care for my patients…This course has the highest proportion of truly excellent presenters of any course/meeting I have attended. Robert J. Brown, MD, Los Angeles, CA

 

 

 

 

Link

Children’s of Minnesota is one of the largest freestanding pediatric health care systems in the U.S., with 381 staffed beds (half of those on Intensive Care Units) and more than 4,200 employees at our hospitals in Minneapolis and St. Paul (3.2 million inhabitants in the metro area). An independent, not-for-profit health care system, Children’s of Minnesota provides care through more than 12,500 inpatient admissions, 19,000 surgical cases, 8,000 home visits, and more than 90,000 emergency room and 250,000 other outpatient visits every year.

With currently 35 employed staff members, the Department of Pain Medicine, Palliative Care and Integrative Medicine is one of the largest and most comprehensive programs of its kind in the country.

 

Please join us as:

Advanced Practice Registered Nurse (APRN) in
Integrative Medicine

We seek a full time Advanced Practice Registered Nurse (APRN) with experience in integrative medicine and/or general or subspecialty pediatrics with an interest in integrative medicine to join the expanding multi-disciplinary Pain Medicine, Palliative Care, and Integrative Medicine Team.

This exciting and ambitious program aims to control acute, chronic and recurrent pain and other symptoms in in- and outpatients at Children’s. We offer children, adolescents, and families a variety of assessment, treatment, and consultative services including expert medical and nursing care, pharmacological therapy, holistic assessment, psychosocial assessment and intervention, psychotherapy, self-regulation skills training, biofeedback, relaxation training, guided imagery/hypnosis, massage therapy, healing touch, and aromatherapy. The APRN will work with a team that covers both the Minneapolis and St. Paul campuses.

The primary responsibility of this position is to provide integrative medicine management of children with pain and other conditions in the inpatient and clinic settings. The primary population will include children with chronic pain (e.g. chronic headaches and abdominal pain), and children with conditions such as sleep disorders, stress, vocal cord dysfunction and anxiety. Good communication skills, flexibility and a desire to learn together with the interdisciplinary team are a must. Experience in pediatrics as well as knowledge of pediatric integrative medicine is preferred. However, the successful applicant will undergo a designated training period.

In 2013 the Pain, Palliative & Integrative Medicine program was the recipient of the “Clinical Centers of Excellence in Pain Management Award” by the American Pain Society. In 2008 it received the distinguished Circle of Life award (sponsored by American Hospital Association) as well as being designated as one of two pediatric palliative care leadership centers with the Center to Advance Palliative Care (CAPC). Our Children’s Institute for Pain & Palliative Care (CIPPC) provides comprehensive teaching, including the annual Pediatric Pain Master Class.

This is a newly created position and the successful candidate will work with an interdisciplinary team, including 5 physicians, 6 clinical nurse specialists/advanced nurse practitioners (2 of which are providing integrative medicine exclusively), 4 nurses, 3 social workers, 2 psychologists, chaplain, child life specialist, 3 research staff, music therapist, 4 integrative medicine therapists plus support/administrative staff to assure timely assessment and intervention for all children referred to the program
Qualifications include: Bachelor’s degree in nursing; Master’s or higher degree in nursing. Current Minnesota RN license (or eligibility); Pediatric Clinical Nurse Specialist or Pediatric or Family Nurse Practitioner certification required.

 

For further questions please contact our program’s manager Liz Leighton Liz.Leighton@childrensmn.orgWe offer competitive compensation and benefits package. For consideration, please visit our web site at www.childrensmn.org to learn more. EOE/Smoke-Free Environment.

 

Children’s Hospitals and Clinics of Minnesota has been ranked among the top Children’s Hospitals in the USA (U.S. News & World Report) and among the top ten pediatric hospitals in quality and safety (Leapfrog Group).

 

The twin cities of Minneapolis / St. Paul provide an extraordinary high level of quality of life:

http://blogs.stthomas.edu/realestate/2012/01/19/minneapolis-ranked-number-10-in-the-“top-15-best-cities-for-young-adults”/

 

Stefan J. Friedrichsdorf, MD, FAAP
Medical Director | Department of Pain Medicine, Palliative Care & Integrative Medicine | Children’s Hospitals and Clinics of Minnesota
Associate Professor of Pediatrics, University of Minnesota
Children’s Hospitals and Clinics of Minnesota
2525 Chicago Ave S | Minneapolis, MN 55404
612.813.6450  phone | 612.813.7199  fax
 
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We do everything possible to prevent and treat pain!
SAVE THE DATE: 
 

8th Annual Pediatric Pain Master Class | Minneapolis, MN | June 20-26, 2015
Education in Palliative & End-of-life Care [EPEC]: Become an EPEC-Pediatrics Trainer | Phoenix, AZ| May 4-5, 2015
 
Center to Advance Palliative Care (CAPC) – Pediatric Palliative Care Leadership Center (PCLC) Training Minneapolis, MN | Dec 10-12, 2014
 

 

Senior Administrative Assistant:

Katie McGuire | 612.813.6405  phone 

Twitter: @NoNeedlessPain
<Mail Attachment.bmp>

 

 

Link

Here is a list of current

US Pediatric Palliative Care Physician Fellowship Programs

Thanks to Joanne Wolfe, Boston, in compiling this information !!!


(1) Akron Children’s Hospital Pediatric Palliative Medicine Fellowship (2 slots) 

https://www.akronchildrens.org/cms/pediatric_palliative_care_fellowship/index.html Contact: Cathy Kelly-Langen, MD – ckelly-langen@chmca.org or 330-543-3343

 


 

(2) Children’s Healthcare of Atlanta and Emory University School of Medicine (Pediatric Track) 

http://www.choa.org/Childrens-Hospital-Services/Palliative-Care/Fellowship%20Program Contact: Jeffrey C Klick, MD - jeffrey.klick@choa.org

 


 

(3) Children’s Hospital of Philadelphia (2 slots)

http://www.chop.edu/service/pediatric-advanced-care-team-pact/home.html  Contact:  Jennifer K. Hwang, MD MHS   HWANG@email.chop.edu

 


 

(4) Children’s of Alabama Palliative & Supportive Care Team/University of Alabama at Birmingham (Pediatric Track, not dedicated position) http://www.uab.edu/medicine/palliativecare/training/fellowship  Contact: Michael Barnett, MD MS mbarnett@peds.uab.edu  or (205) 975-8197

 


 

(5) Cincinnati Children’s Hospital Hospice & Palliative Care Fellowship (2 slots)

www.cincinnatichildrens.org/palliative-fellowship

Contact: Marybeth Sullivan Marybeth.Sullivan@cchmc.org, fellowship coordinator

Contact: Norb Weidner, MD Norbert.Weidner@cchmc.org  Director

 


 

(6) Jefferson Medical College Program – Wilmington DE

Nemours/duPont Hospital for Children HPM Fellowship (Pediatric Track) http://www.nemours.org/education/gme/fellowships.html

Contact: Elissa Miller, MD elissa.miller@nemours.org

 


 

(7) Harvard Palliative Care Fellowship (Pediatric Track) (2 slots)

http://www.hms.harvard.edu/pallcare/Other/Fellowships.htm

Contact: Joanne Wolfe, MD MPH joanne_wolfe@dfci.harvard.edu  pediatric fellowship director

Contact: James F. Fitzgerald  jffitzgerald@partners.org  fellowship coordinator

 


 

(8) Kaiser Permanente Southern California Hospice and Palliative Medicine Fellowship (Pediatric Track at Children’s Hospital Los Angeles) 

https://residency.kp.org/scal/fellowship/hospicepalliative/faculty.html

Contact: Susan Wang,MD Susan.E.Wang@kp.org or Ilanit Brook, MD (CHLA Palliative care physician) ibrook@chla.usc.edu

 


 

(9) Northwestern University Palliative Medicine Fellowship (Pediatric Track, not dedicated position)

http://www.medicine.northwestern.edu/divisions/hospital-medicine/fellowships/palliative-medicine-fellowship Contact: Joshua Hauser, MD j-hauser@md.northwestern.edu Contact: Joel Frader, MD jefrader@luriechildrens.org

 


 

(10) University of Florida Jacksonville (Pediatric Track)

There is also an adult track – 1 position for each year.

Contact: Kelly.komatz@jax.ufl.edu

 


 

(11) University of Michigan Ann Arbor Palliative Care Fellowship (Pediatric Track)

Applicants require funding from home institution

http://www.med.umich.edu/geriatrics/edu/hospice.htm

Contact: Terry Murphy  tmurph@med.umich.edu

 


 

(12) University of Minnesota: Hospice and Palliative Medicine Fellowship (Pediatric Track)

Department of Pain Medicine, Palliative Care and Integrative Medicine, Children’s Hospitals and Clinics of Minnesota, Minneapolis/St. Paul, MN

http://www.fm.umn.edu/education/fellowships/hpm/home.html

Contact: Kris Catrine, MD Kris.Catrine@childrensMN.org , Pediatric Fellowship Director

 


 

(13) University of Mississippi / Batson Children’s Hospital, Hospice and Palliative Medicine Fellowship (Pediatric Track, 1 slot)

Contact: Rick Boyte, MD, Fellowship Director, wboyte@umc.edu

Contact: Daphne Secrest, Fellowship Coordinator, dsecrest@umc.edu


 

(14) University of Tennessee Palliative Care Fellowship (Pediatric Track) (2 slots)

Contact:  Le Bonheur Children’s Hospital site director:  Melody Cunningham, MD: mcunni16@uthsc.edu

Contact:  St Jude Children’s Research Hospital site director:  Justin Baker, MD: justin.baker@stjude.org

Contact: Fellowship Coordinator:  Catina Price; catina.price@mlh.org

 


 

(15)  University of Texas Medical School at Houston Hospice and Palliative Medicine Fellowship (Pediatric Track, not dedicated position)

https://med.uth.edu/im/divisions/geriatric-palliative-medicine/education/hospice-and-palliative-medicine-fellowship/

Contact: John Halphen, MD John.M.Halphen@uth.tmc.edu  Fellowship Director

Contact: Patrick Jones, MD Patrick.M.Jones@uth.tmc.edu Pediatric Track Director

 


 

(16) University of Washington Palliative Medicine Fellowship (Pediatric Track, not dedicated position)

http://depts.washington.edu/pallmed/

Contact: Ross Hays, MD ross.hays@seattlechildrens.org

Contact: Fellowship Coordinator, Betsy Zickler eazickle@u.washington.edu


 

A Pediatrician’s favorite Top 10 Apps for Pain Management

State of the art pain management in the 21st century demands that pharmacological management must be combined with supportive and integrative (non-pharmacological) therapies to manage a child’s pain. At our department we are using physical methods (e.g. cuddle/hug, massage, comfort positioning, heat, cold, TENS), cognitive behavioral techniques (e.g. guided imagery, hypnosis, abdominal breathing, distraction, biofeedback) as well acupressure and aromatherapy.

For “needle-pokes” (vaccinations, blood draws etc.) for instance we expect that kids are sitting upright (use sucrose in the age group 0-12 months), that we numb their skin with topical anesthesia (e.g. EMLA-patch, LMX 4% lidocaine patch, or J-tip) and use distraction, such as bubble blowing or blowing a pin wheel. Alternatives can be apps on your smartphone etc.

My personal favorite remains teaching children in self-hypnosis. However, in addition, I use in my clinical practice (inpatient, clinic and home visits) increasingly Apps on my iPhone or iPad:

My Top 10 Apps for Pain & Symptom Management in Children

 #10 Chalkboard: Drawing on a realistic chalkboard with different color chalk – much more fun than it sounds. [$ 1.99] https://itunes.apple.com/us/app/real-chalkboard-hd/id455186311?mt=8

 #9 Talking Tom: This is a cat that repeats everything you say in a funny voice. You can then record and share videos and send them by eMail / YouTube / Facebook. Kids really enjoy that they can make Tom the cat say funny stuff… [free] https://itunes.apple.com/us/app/talking-tom-cat/id377194688?mt=8

# 8 Simply Being: Provides relaxation, stress relief and benefits of meditation without prior experience. It allows the child/teenager to choose from 4 meditation times and gives them the option to listen to the guided meditation with or without music or nature sounds. Kids can also listen to the music or nature sounds alone. More for older children and teenagers. [$ 0.99]  https://itunes.apple.com/us/app/simply-being-guided-meditation/id347418999?mt=8

 #7 Drums:  As the name implies, this is a drum kit. Great for kids with too much [or too little] energy. Rock on! [$ 0.99]  https://itunes.apple.com/us/app/drums!/id311549739?mt=8

# 6 Tesla Toy: Tesla Toy is a fun interactive “particle toy”. When the fingers touch the screen they generate what looks like a powerful electrical field that makes the thousands of particles react beautifully. 
Kids (& adults) are often mesmerized by this app for a long time. [$ 1.99] https://itunes.apple.com/us/app/tesla-toy/id395767185?mt=8

#5 Fruit Ninja: A “juicy” action game with squishy, splatty and satisfying fruit carnage! [$ 0.99] https://itunes.apple.com/us/app/fruit-ninja/id362949845?mt=8

 #4 Koi Pond: One is gazing into a pond of crystal clear water with fish, turtles and more. Kids run their fingers across the cool surface of the pond and water ripples away from their touch.
The koi fish, disturbed, dart away… only to quickly forget and swim close once more… [$ 0.99]  https://itunes.apple.com/us/app/koi-pond/id286420263?mt=8

#3 Easy Bake Treats: This is a highly recommended app. It let’s children make, bake, decorate, eat and share virtual cakes, cupcakes, cookies, cake pops and pizza. They pick their mix, fill the pan with batter and water, mix it all together and slide the pan into the virtual oven to cook.  Then they can add candles to their cakes and cupcakes too! Candles can be lit and re-lit for even more fun! 
Once they’ve baked and decorated their treats, kids can show off and share their delicious virtual creations with family and friends via email or Facebook. Highly addictive – kids can spend a very long time on this! [free] https://itunes.apple.com/us/app/easy-bake-treats!/id462795218?mt=8

#2 The Healing Buddies Comfort Kit™ app provides an interactive, virtual way for kids and teens to engage with the latest in integrative medicine techniques and activities to assist in the management of symptoms they may be experiencing. 
Kids and families are increasingly interested in options to improve health and wellness that involve taking fewer pills and that involve supporting their body’s natural, internal healing systems. -combining kid-friendly activities and pre-recorded audio exercises and instructions that teach self-care skills. The Healing Buddies Comfort Kit™ (mobile app for iPad, iPhone and iPod Touch platforms) offers an interactive, virtual way for kids and teens at home, in a doctor’s office, or in the hospital, to learn and immediately benefit from self-care techniques to manage common symptoms like pain, worries, nausea, fatigue and trouble sleeping. 

The Healing Buddies Comfort Kit™ contains several integrative medicine techniques adapted for use by children and teens that are quick and effective for symptom control so kids can get back to doing what they like to do–and need to do each day. The techniques included in this mobile app are designed by leaders in the field of Pediatric Integrative Medicine (Physicians, Nurses, Psychologists and Child Life Specialists) and have been tested for years in several leading Children’s Hospitals and Clinics. The app leads kids through these various techniques and activities, plus, the Healing Buddies™ make it a fun and engaging experience.

Techniques that kids will learn that are included in the Healing Buddies Comfort Kit™ include:

-Mental Imagery/Visualization: in this technique kids/teens will learn to use the power of their imagination to effect changes in physical and emotional activity.

-Relaxation Exercises: with these breathing and muscle control techniques, kids/teens will learn to calm down and balance the body and the nervous system which helps to reduce symptoms of pain and nausea, improves sleep and can have a powerful effect on controlling & even eliminating worries

-Acupressure: acupressure is part of the ancient Chinese medical system and involves applying pressure to “special points” on the body which in turn releases helpful chemicals and induces nervous system changes that can help to reduce pain, nausea, and anxiety

-Aromatherapy: aromatherapy, which involves smelling oils made from plants, has been around in most cultures for thousands of years. Smelling certain kinds of scented oils offers another tool for kids/teens to use to control unwanted symptoms/feelings

-Positive Self-Talk: this involves learning to be a “self-coach” and harnesses the power of positive thinking. [Disclaimer:

The creation of the mobile app has been a collaborative effort of my department at the Children’s Hospitals and Clinics of Minnesota with Ridgeview Medical Center and DesignWise Medical.] https://itunes.apple.com/us/app/healing-buddies-comfort-kit/id605421955?mt=8

 and the winner is…

#1 Balloonimals:  Absolutely groovy – kids love it! My favorite app to distract a child in pain or discomfort. Beautifully rendered balloon animals spring to life when you blow into the microphone on your iPhone/iPad or swipe with your iPod Touch. Watch the balloon inflate and then give your phone a shake to start constructing your Balloon animal. With each shake, your animal takes greater shape until… Voila! Your Balloon animal appears and is ready to play. Pet your “Balloonimal” to see what tricks it can do. https://itunes.apple.com/us/app/balloonimals/id307459878?mt=8

Apps, which just did not make the list (but I still like them a lot): Art of Glow, Sand Garden, Build a Zoo, Naturespace, SkyView and Disney’s Small World

And…a groovy App just out in October 2014: Pain Squad Mobile App

The Hospital for Sick Children (SickKids) in Toronto needed to find a way to encourage their young cancer patients to complete daily reports on their pain. With a little back-up from Canada’s top police dramas, our innovative mobile app made this overwhelming task easy and fun. http://www.campaignpage.ca/sickkidsapp/

 

 

 

Stefan J. Friedrichsdorf, MD, FAAP Medical Director | Department of Pain Medicine, Palliative Care & Integrative Medicine | Children’s Hospitals and Clinics of Minnesota

Twitter: @NoNeedlessPain