1 Pharmacological Physical Based on evidence from Clinical Therapeutics 2009 (supplement issue) Psychological The 4 P’s of Pain Management Procedural EVIDENCE-BASED CLINICAL PRACTICE GUIDELINES FOR IMMUNIZATION PAIN MANAGEMENT IN CHILDREN
2 Step 1: Pharmacological (Pain Medicine) Step 2: Physical (Body Position & Activity) Step 3: Psychological (Thoughts & Behaviors) Step 4: Procedural (Injection Techniques) 4 P’S OF PAIN MANAGEMENT
3 SickKids Parent and Clinician fact sheets taddio.html Video Medication/Pages/Pain-Free-Injections.aspx YouTube: TOOLS AND RESOURCES
4 SAMPLE FACT SHEET FOR PARENTS 4
5 Baby Rourke Record Immunization Competencies Education Program education-program.aspx Toronto Public Health TOOLS AND RESOURCES
6 FEASIBILITY OF IMPLEMENTATION 6 Paediatrics & Child Health 2011
7 STEP 1: PHARMACOLOGICAL
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9 STEP 2: PHYSICAL
10 STEP 2: PHYSICAL
11 STEP 2: PHYSICAL 11
12 STEP 3: PSYCHOLOGICAL
13 STEP 3: PSYCHOLOGICAL
14 STEP 4: PROCEDURAL 14
15 STEP 4: PROCEDURAL 15