program - American Academy for Cerebral Palsy and ...

Thursday, October 17, 2013
7:00 am–7:50 am Breakfast Seminars 1-6
BRK 3 - MANAGEMENT OF CHRONIC PAIN IN CHILDREN WITH CHRONIC MEDICAL CONDITIONS
Author: Joelle Mast, PhD MD
Level: Intermediate
Purpose: Chronic pain is under recognized and undertreated in children with chronic medical conditions such as cerebral palsy and sickle
cell anemia. The purpose of this seminar is to increase awareness and provide management guidelines for the treatment of chronic pain.
Target Audience: Pediatricians, neurologists, psychologists, physiatrists, orthopedic and neuro-surgeons, physical and occupational
therapists, speech and language therapists, nurses, concerned with the care of people who have cerebral palsy and other chronic medical
conditions
Course Summary: This lecture will familiarize the audience with the spectrum of pain syndromes, such as CPRS and RLS as well as
musculoskeletal pain. Assessment tools, both pain scales and functional scales will be reviewed. Management including when and how to
use opiate therapy and how to treat side effects will be discussed. Risk assessment and medico-legal issues will be covered.
Learning Objectives:
1) Understand the presentation of chronic pain in children.
2) Be able to manage chronic pain with both pharmacologic and nonpharmacologic interventions.
3) Know treatments for side effects of pain medications.
4) Understand the medicolegal requirements of pain management in terms of accountability of both patient and practitioner.
BRK 4 - BONE HEALTH IN CHILDREN WITH PHYSICAL DISABILITIES
Authors: Steven Bachrach, MD; Tessa Gresley-Jones, BScN MN NP-Paeds
Level: Intermediate
Purpose: To review the evidence around prevention, surveillance and treatment of osteoporosis and fragility fractures in children with
mobility restrictions while providing practical strategies to translate knowledge into practice on this topic.
Target Audience: Physicians, nurses, therapists, parents
Course Summary: Children with physical disabilities and mobility restrictions are at increased risk for developing osteoporosis.
Approximately 20% of children and young adults with cerebral palsy who cannot walk independently develop fragility fractures. Fractures
can cause significant pain and impairment, as well as impact family functioning. Therefore, it is important for caregivers and health care
providers to know how to improve bone mineral density and prevent fragility fractures in these children. We will review the evidence around
prevention, surveillance and treatment of osteoporosis and fragility fractures in children with mobility restrictions. We will also introduce a
clinical practice guideline for children with Cerebral Palsy at risk for osteoporosis as well as practical tools to facilitate knowledge translation
of this practice guideline. The presenters will prompt participants to engage in discussion about gaps in the evidence and challenges in their
own clinical practice, specifically around monitoring vitamin D levels, use of DXA scans and decision making around bisphosphonates.
Learning Objectives:
1) To identify key components of the prevention and evaluation of low bone mineral density in children with disabilities.
2) To develop skill in implementing nutrition based interventions for preventing and treating low bone mineral density in children with
disabilities.
3) To understand how bone density is measured in patients with disabilities and what the measurements mean.
4) To understand the evidence for treatment modalities of osteoporosis of children with physical disabilities, specifically bisphosphonates.
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American Academy for Cerebral Palsy and Developmental Medicine • PRELIMINARY PROGRAM