Medical College of Wisconsin
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The ripple effect: systems-level interventions to ameliorate pediatric pain. Pain Manag 2012 Nov;2(6):593-601



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The focus of this brief review is to highlight to the reader some of the 'ripple effects' of broader systems-level healthcare issues and the implications they may have for effective treatment of pediatric chronic pain. Many healthcare providers focus almost exclusively on the patient, but lack the knowledge of how to intervene effectively at systems levels with families, schools and healthcare institutions surrounding the pediatric patient with pain. We provide a case example and consider this issue across three systems that are particularly relevant to pediatric pain management: the outpatient pain clinic, school and inpatient settings. The information presented will improve the healthcare provider's ability to effectively treat pediatric pain through an enhanced understanding of the multiple systems of care that surround children with pain.

Author List

Guite JW, Logan DE, Ely EA, Weisman SJ


Steven J. Weisman MD Professor in the Anesthesiology department at Medical College of Wisconsin

jenkins-FCD Prod-484 8aa07fc50b7f6d102f3dda2f4c7056ff84294d1d