1. Addressing Pain in Non- communicative Children Amy Houtrow, MD, PhD, MPH Julie Hauer, MD Kim Hartman, MD

2. Welcome Julie Hauer, MD Medical Director at Seven Hills Pediatrics Pediatric palliative care expert Expertise in medical management of complex health conditions in pediatrics Expertise in pain management for children with severe neurologic impairments

3. Course Objectives Discuss the prevalence of pain in non-verbal children with disabilities Recognizes behaviors and symptoms that may be pain related Identify pain assessment tools Identify treatment options for acute and chronic pain Recognize methods to reduce procedural pain

4. Disclosures We have no relevant disclosures to report We will be talking about medications used ‘off-label’ or ‘off-indication’ as is requently the case for pediatric medications