Abstract ID: 3472

Primary Topic: Clinical skills-building
Secondary Topic: Clinical skills-building

Let’s Stop the Opioids! An Experiential Workshop on Non-Pharmacologic Therapies for Pediatric Pain Management
Kathi Kemper, MD, The Ohio State University, Columbus, OH, United States; Erica Sibinga, MD, Johns Hopkins University School of Medicine, Baltimore, MD, United States; Sanghamitra M Misra, MD, Baylor College of Medicine, Houston, TX, United States; Danielle Graff, MD, University of Louisville, Louisville , KY, United States; Shiu-Lin Tsai, MD, Columbia University, New York, NY, United States

Late Breaker: No

Overview

In response to the opioid epidemic in our country, numerous government agencies including the CDC and FDA have made official recommendations for non-pharmaceutical approaches for the treatment of pain. Participants will be introduced to four evidence-based therapies for pediatric pain management: autogenic training, mindfulness, meditation / breathing techniques, and acupuncture. All four modalities have shown benefits for pain. Attendees will experience each therapy first-hand and learn at least one practical application to take back for immediate clinical use. 

Rationale

In response to the opioid epidemic in our country, numerous government agencies including the CDC and FDA have made official recommendations for non-pharmaceutical approaches for the treatment of pain. More recently, the National Institutes of Health, the U.S. Department of Defense, and the U.S. Department of Veterans Affairs are partnering to expand research of non-pharmacologic approaches to pain management. 

Not uncommonly, opioid addiction begins with legitimately prescribed narcotic usage. Furthermore, increased morbidity and mortality has been reported in pediatrics, including multi-generational effects as seen in the rise of neonatal abstinence syndrome and opioid associated brain changes in newborn babies affecting later development. Given these alarming opioid-associated sequelae, effective non-opioid treatment options for pain are urgently needed. 

Objectives

Participants will be introduced to four evidence-based therapies for pediatric pain management: autogenic training, mindfulness, meditation / breathing techniques, and acupuncture. All attendees will experience each therapy first-hand and learn at least one practical application to take back for immediate clinical use. 

Methods/Session Format

Each of the four speakers will give a seven minute introduction to their modality followed by a thirteen minute hands-on experiential workshop of that therapy, in which all attendees will participate. Everyone will practice autogenic self-hypnosis, mindfulness, breathing / meditation, and acupuncture.

Outline

Autogenic Training - Autogenic Training is a simple, effective self-hypnosis tool to help manage pain and stress in patients of all ages. Repeating six simple phrases quickly leads to deep relaxation within minutes. Participants will experience this for themselves and then have the opportunity to lead others in the exercise, practicing in a safe space prior to taking this tool home to use with patients.

Mindfulness – Mindfulness has been described as non-judgmental, present-focused awareness and has been shown to be beneficial for mental health, coping, and pain management.  The evidence for mindfulness benefits will be reviewed, and mindfulness concepts and formal and informal techniques will be experienced and discussed.  Session participants will learn simple mindfulness concepts and techniques which can be used for both practitioners and patients alike.   

Meditation / Guided Imagery / Breathing Techniques -  Meditation, guided imagery, and breathing techniques can help manage stress and pain in children of all ages.  These techniques are simple to teach patients, even in a busy office practice.  Children feel empowered once they learn to manage their own symptoms. Participants will learn to utilize simple tools that can be used with patients.  

Acupuncture - Attendees will experience and learn two auricular acupuncture protocols: 

  1. Battlefield Acupuncture to treat pain in general, currently used in the United States military
  2. Another standardized protocol to abort migraine headaches

Materials to be Distributed

Acupuncture needles and silicone ear models will be distributed for participants to practice with.