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Course Information
Integrative Pediatric Pain and Palliative Care: The Biopsychosocial Model Modules

Online video course
January 05, 2006 to January 04, 2009



Course Description

This course will provide an overview of the neurobiology of pediatric pain within a biopyschosocial framework. It will outline developmental issues related to pediatric pain as well as strategies for managing acute procedural pain. It will review use of the Internet and the role of computers in modern day pain treatment, as well as present discussions about a number of pain syndromes, including headaches, arthritis, complex regional pain syndrome, fibromyalgia, irritable bowel syndrome, and chronic somatic syndromes such as chronic fatigue and cyclic vomiting. Clinical evaluation of children with chronic pain will be outlined within the biopsychosocial model. The development of a pain management plan and specific treatments for chronic pain will be outlined, including educational, physical, psychological, behavioral, pharmacological, and complementary and alternative medicine (CAM) treatments. Pediatric palliative care and hospice needs, planning, and treatment will also be discussed, as well as how to talk with the dying child and his/her family. This course, designed for physicians who care for children and adolescents, will fulfill the requirement legislated by the state of California that physicians, except radiologists and pathologists, complete 12 hours of continuing medical education in pain management and palliative care.

This course, presented by the UCLA Department of Pediatrics and the Fielding Graduate University, is derived from two live programs that were held November 20-21, 2004 on the UCLA campus and December 4-5, 2004 at the Beverly Hilton Hotel, Beverly Hills, California.


Registration Information

"Integrative Pediatric Pain and Palliative Care: The Biopsychosocial Model" requires a computer running Microsoft Windows 2000 or newer and IE version 6 or higher, and Windows Media Player 9 or higher

Fees:

Full course: $175
Individual modules: $75 per module

Enrollment:

To enroll click here


If you have any questions regarding this course please contact the Office of Continuing Medical Education at eayala@mednet.ucla.edu.

CME adheres to a strict privacy policy regarding all data collected on this site. Please read our Privacy Policy Statement.

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Faculty

Course Chairs

Joseph P. Bush, PhD
Associate Dean & Faculty Director of Research Training
Health Psychology Coordinator, School of Psychology
Fielding Graduate University
Santa Barbara, California

Lonnie Zeltzer, MD*
Professor of Pediatrics, Anesthesiology, Psychiatry and Biobehavioral Sciences
Director, UCLA Pediatric Pain Program
UCLA Mattel Children's Hospital

Faculty

R. Debra Bendell Estroff, PhD
Faculty, School of Psychology
Fielding Graduate University
Santa Barbara, California

J. Kathryn de Planque, PhD
Holistic Health Practitioner
Hypnotherapy & Guided Imagery
Private Practice, Santa Monica
UCLA Pediatric Pain Program

Elana Evan, Ph.D.
Project Coordinator
Glaser Pediatric Palliative Care Study
UCLA Children's Comfort Care Resource Program
UCLA Pediatric Pain Program

Jeffrey I. Gold, PhD
Children's Hospital, Los Angeles
Clinical Assistant Professor of Pediatrics and Anesthesiology
University of Southern California Keck School of Medicine

Sean Hampton, MPT
ADI Rehab Physical Therapy
UCLA Pediatric Pain Program

Deborah K. McCurdy, MD*
Associate Professor
Division of Immunology & Allergy
UCLA Department of Pediatrics

John H. Menkes, MD
Pediatric Neurologist, Playwright
Director Emeritus, Pediatric Neurology
Cedars-Sinai Medical Center
Private Practice, Los Angeles

Diane Poladian, PT
Biofeedback and Physical Therapist
Progressive Physical Therapy
UCLA Pediatric Pain Program

Michael A. Seffinger, DO, FAAFP
Assistant Professor, Family Medicine/OMM
Dept. of Osteopathic Manipulative Medicine
College of Osteopathic Medicine of the Pacific
Western University of Health Sciences
Pomona, California

Beth Sternlieb
Certified Iyengar Yoga Instructor
Iyengar Yoga Researcher
UCLA Pediatric Pain Program

Margaret Stuber, MD*
Child Psychiatrist
Head, Medical Child Trauma Team
Professor of Psychiatry & Biobehavioral Sciences

Michael Waterhouse, MA, LAc
Acupuncturist, Rochford Clinic, Beverly Hills
UCLA Pediatric Pain Program

*David Geffen School of Medicine at UCLA



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Program Agenda

Module 1: Developmental Factors in Child Pain: Focus on Cancer Pain

  • Introduction - Joseph P. Bush, Ph.D.
  • Understanding Normal Growth and Development as a Basis for Understanding Pediatric Pain - Debra Bendell Estroff, Ph.D.
  • Cancer Pain in Children - Lonnie Zeltzer, M.D.
Module 2: Pain and Distress in Children: Assessment and Management, Using Traditional and Electronic Media Tools
  • Introduction - Lonnie Zeltzer, M.D.
  • Media Tools and their Application in the Treatment of Pain and Pain-Related Distress and Adjustment Problems in Children with Chronic Illnesses and Children Undergoing Stressful Medical Procedures - Joseph P. Bush, Ph.D.
  • Assessment and Management of Chronic Pain in Children - Lonnie Zeltzer, M.D.
Module 3: Pain and Distress Management for Children and Adolescents Undergoing Stressful Medical Procedures
  • Introduction - Joseph P. Bush, Ph.D.
  • Designing and Evaluating Intervention Programs to Reduce Pain and Distress in Children and Adolescents Undergoing Repeated Medical Treatments - Jeffrey I. Gold, Ph.D.
Module 4: A Biopsychosocial Model for Understanding Pediatric Pain
  • Introduction - Joseph P. Bush, Ph.D.
  • Understanding Pediatric Pain: A Mind-Body Paradigm - Lonnie Zeltzer, M.D.
Module 5: Complementary/Alternative Approaches and Specific Painful Medical Conditions in Children
  • Introduction - Lonnie Zeltzer, M.D.
  • Acupuncture - Michael Waterhouse, M.A., L.Ac.
  • Biofeedback - Diane Poladian, P.T.
  • Hypnotherapy - J. Kathryn de Planque, Ph.D.
  • Therapeutic Iyengar Yoga - Beth Sternleib
  • Physical Therapy in Pediatric Chronic Pain - Sean Hampton, M.P.T.
  • Introduction - Lonnie Zeltzer, M.D.
  • Rheumatological Pain Conditions- Deborah K. McCurdy, M.D.
  • Chronic Daily Headaches and Migraines- John H. Menkes, M.D.
  • Myofascial Pain and the Muskuloskeletal Exam - Michael Seffinger, D.O.
Module 6: Internet Resources, Palliative Care, and Pediatric Fibromyalgia
  • Fibromyalgia - Lonnie Zeltzer, M.D.
  • Patients and Parents Use the Internet: What to Do? - Joseph P. Bush, Ph.D.
  • Introduction - Joseph P. Bush, Ph.D.
  • Overview of Pediatric Palliative Care and Pediatric Hospice - Elana Evan, Ph.D.
  • Overview of Pediatric Palliative Care and Hospice - Lonnie Zeltzer, M.D.
Module 7: PTSD, Dying, and Palliative Care for Children
  • Introduction - Joseph P. Bush, Ph.D.
  • Post-Traumatic Stress Disorder, Pain, and Palliative Care - Margaret Stuber, M.D.
  • How to Talk with Dying Children and their Families - Margaret Stuber, M.D.



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Objectives

At the conclusion of this course, participants should be better able to:

  • understand pain from a biopsychosocial perspective, including the basic principles and techniques of pain assessment in children, and apply these in their clinical practices in developmentally appropriate ways;
  • understand the development of chronic pain conditions;
  • understand the basic principles and techniques of chronic pain management in children, including headaches and abdominal pain;
  • understand the sources and types of pain in children with cancer;
  • understand the relationship of pain and distress in children in developmental context;
  • understand the basic principles and techniques of distress and anxiety assessment in children and apply these in their clinical practices in developmentally appropriate ways;
  • understand the basic principles and techniques of distress and anxiety management in children and apply these in their clinical practices in developmentally appropriate ways
  • manage pediatric chronic pain using multiple strategies, including educational, pharmacological, psychological, physical, and CAM treatments; and
  • understand pediatric palliative care and hospice, including appropriate referral and provision of medical, psychiatric, CAM, and spiritual care.



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Accreditation

The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Office of Continuing Medical Education, David Geffen School of Medicine at UCLA designates this educational activity for a maximum of 14 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

AB 487

New California law, AB 487, mandates that physicians licensed in the state of California (except Radiologists and Pathologists) complete 12 hours of continuing medical education on pain management and the treatment of terminally ill and dying patients. This is a one-time requirement, which must be completed by December 31, 2006.



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Disclosures

The FDA has issued a concept paper which classifies commercial support of scientific and educational programs as promotional unless it can be affirmed that the program is "truly independent" and free of commercial influence. In addition to independence, the FDA requires that nonpromotional, commercially supported education be objective, balanced, and scientifically rigorous. The policy further states that all potential conflicts of interest of the CME staff and faculty be fully disclosed to the program's participants. In addition, Accreditation Council for Continuing Medical Education policy now mandates that the provider adequately manages all identified potential conflicts of interest prior to the program. We at UCLA fully endorse the letter and spirit of these concepts.

DISCLOSURE DECLARATION

The following faculty members have indicated that they do not have an affiliation with organizations that have interests related to the content of this program:

Joseph P. Bush, PhD
J. Kathryn de Planque, PhD
Debra Bendell Estroff, PhD
Elana Evan, MA
Jeffrey I. Gold, PhD
Sean Hampton, MPT
Deborah K. McCurdy, MD
John H. Menkes, MD
Diane Poladian, PT
Michael A. Seffinger, DO, FAAFP
Beth Sternlieb
Margaret Stuber, MD
Michael Waterhouse, MA, LAc
Lonnie Zeltzer, MD

Acknowledgments


This course is supported in part by unrestricted educational grants from the following:

Endo Pharmaceuticals, Inc.
UniHealth Foundation



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