Optimizing the management of Pain and Irritability in Children With Severe Neurological Impairment
Is your child experiencing pain and you don't know why?
Participate in a research study to improve the management of pain and irritability in children with severe neurological impairments.
What is this study about?
Children with diseases affecting the nervous system often experience pain and irritability due to unknown causes. Sometimes the source of pain and irritability can be identified through careful physical examination, lab tests and imaging. Many times, however, examination reveals no obviously correctable source for pain and irritability. At that stage, various therapies are attempted to reduce pain, irritability and agitation. Unfortunately, there is no common approach to treating these problems.
We would like to see how useful it is for your healthcare team to use standardized clinical guidelines when treating your child. When doctors and nurses follow standardized guidelines, we sometimes call it an integrated clinical pathway. In this study your child follows a pathway of known tests and treatments in order to find the cause and resolve unexplained pain and irritability.
What does this study involve?
This is a 6-8 month study although your child will likely complete the pathway in less time. Your child will have a complete work up done of the tests and treatments they previously received to identify pain and irritability. We will follow up with you regularly to ask you questions about your child’s pain and irritability and your well-being. The doctor and nurse will take you through the pathway and work with you until your child’s pain is resolved or all testing has been exhausted. In that case we will offer follow up treatment or recommend you continue to work with your usual health care teams.
Who can participate in this study?
Children between 6 months and 18 years with neurological problems, who cannot communicate verbally about their pain and continue to have unexplained pain. The pain must not be due to accidents, injury or to medical procedures, and must not have responded to treatments in the past.
Who is conducting this study?
This study is being conducted by a researchers at University of British Columbia, University of Calgary, University of Toronto, University of Alberta and offered to children in four hospital centres across Canada:
· BC Children’s Hospital in Vancouver. Site Lead: Dr. Tammie Dewan
· Alberta Children’s Hospital in Calgary. Site Lead: Dr. Vithya Gnanakumar
· Hospital for Sick Children in Toronto. Site lead: Dr. Julia Orkin
· Children’s Hospital of Eastern Ontario in Ottawa. Site Lead: Dr. Christina Vadeboncoeur
For more information or to enroll go to www.paindetectives.org