Sickle Cell Disease with Pain Clinical Pathway – Emergency Department and Inpatient

Non-Pharmacologic Interventions for Pain Control

Interventions below provide evidence-based, non-pharmacologic interventions for management of pain and stress experienced by the children with SCD during a pain crisis to complement medication management
These interventions also integrate elements of physical and emotional well-being to promote healing

Activities of Daily Living (ADLs)	Out of bed 2–3 times/day Hygiene Brush teeth Bed linen changed Clothes/gown changed
Sleep Hygiene	Consider reducing frequency of vital signs overnight if clinically appropriate Enforce quiet time Consider earplugs
Oral Hydration	Strict intake and output
Heat Therapy	ThermaCare Wraps Heat packs
Psychosocial Support	Psychologist Social Work
Integrative Therapies	Massage Yoga Acupuncture Biofeedback
Consults	PT/OT Child Life

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Sickle Cell Disease with Pain Clinical Pathway – Emergency Department and Inpatient

Non-Pharmacologic Interventions for Pain Control

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Sickle Cell Disease with Pain Clinical Pathway – Emergency Department and Inpatient – Non-Pharmacologic Interventions for Pain Control

Sickle Cell Disease with Pain Clinical Pathway – Emergency Department and Inpatient

Non-Pharmacologic Interventions for Pain Control