Chronic pain: Effective parenting for teensCChronic pain: Effective parenting for teensChronic pain: Effective parenting for teensEnglishPain/AnaesthesiaTeen (13-18 years)NANervous systemConditions and diseases;Symptoms;Non-drug treatmentAdult (19+) CaregiversPain2019-01-25T05:00:00Z9.5000000000000054.30000000000001522.00000000000Flat ContentHealth A-Z<p>​​​Find out how you can support the 3Ps of pain management with effective parenting strategies for your teen with chronic pain.</p><h2>Key points</h2><ul><li>Encourage your teen to keep to their normal routines as much as they can, but strike a balance between ground rules and your teen's growing independence.</li><li>Help your teen with upcoming transitions, including accessing supports in post-secondary institutions and receiving care in the adult health system.</li><li>Avoid dismissing or over-focusing on your teen's pain, offering "secondary gains" or isolating your child.</li><li>Be sure to look after yourself so you can support your child. If you have any concerns about your or your child's wellbeing, seek professional help.</li></ul><h2>Websites</h2><p>Website designed to help teens get control of their pain (German Paediatric Pain Centre)<br><a href="http://www.deutsches-kinderschmerzzentrum.de/en/" target="_blank">http://www.deutsches-kinderschmerzzentrum.de/en/</a></p><p>Website where teens can learn the Canadian 24-Hour Movement Guidelines the fun way<br><a href="http://buildyourbestday.participaction.com/en-ca/tutorial" target="_blank">http://buildyourbestday.participaction.com/en-ca/tutorial</a></p><h2>Videos</h2><p>How does your brain respond to pain<br><a href="https://www.youtube.com/watch?v=I7wfDenj6CQ" target="_blank">https://www.youtube.com/watch?v=I7wfDenj6CQ</a></p><p>Seven video mini-series on chronic pain and its management for youth (Pain Bytes)<br><a href="http://www.aci.health.nsw.gov.au/chronic-pain/painbytes" target="_blank">http://www.aci.health.nsw.gov.au/chronic-pain/painbytes</a></p><p>Video explaining the power of the brain and chronic pain<br><a href="https://www.mycarepath.ca/understanding-pain/brain-and-nervous-system-change" target="_blank">https://www.mycarepath.ca/understanding-pain/brain-and-nervous-system-change</a></p><p>Video describing pacing<br><a href="https://www.mycarepath.ca/managing-pain/paced-practiced-and-increasing-activities" target="_blank">https://www.mycarepath.ca/managing-pain/paced-practiced-and-increasing-activities</a></p><p>Teenagers talk about their chronic pain (longer video)<br><a href="https://www.youtube.com/watch?v=56aWuEt4NA0" target="_blank">https://www.youtube.com/watch?v=56aWuEt4NA0</a></p><p>Teenagers talk about their chronic pain (shorter video)<br><a href="https://www.liveplanbe.ca/real-stories/growing-up-with-pain/ryans-story" target="_blank">https://www.liveplanbe.ca/real-stories/growing-up-with-pain/ryans-story</a></p><p>Content developed by Danielle Ruskin, PhD, CPsych, in collaboration with:<br>Anne Ayling Campos, BScPT, Fiona Campbell, BSc, MD, FRCA, Lisa Isaac, MD, FRCPC, Jennifer Tyrrell, RN, MN, CNeph<br>Hospital for Sick Children</p><h3>References</h3><p>Coakley, R., & Schechter, N. (2013). Chronic pain is like… The clinical use of analogy and metaphor in the treatment of chronic pain in children. Pediatric Pain Letter, 15(1), 1-8.</p><p>Coakley, R. (2016). When Your Child Hurts: Effective Strategies to Increase Comfort, Reduce Stress, and Break the Cycle of Chronic Pain. Yale University Press.</p><p>Carney, C., Carney, C.E., & Manber, R. (2009). Quiet Your Mind & Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety, Or Chronic Pain. New Harbinger Publications.</p><p>Mayo Clinic: Understanding Pain (<a href="http://www.mayoclinic.org/understanding-pain/art-20208632?pg=1" target="_blank">http://www.mayoclinic.org/understanding-pain/art-20208632?pg=1</a>)</p><p>Mindell, J.A., & Owens, J. A. (2003). Sleep problems in pediatric practice: clinical issues for the pediatric nurse practitioner. Journal of Pediatric Health Care, 17(6), 324-331.</p><p>Paruthi, S., Brooks, L.J., D'Ambrosio, C., Hall, W.A., Kotagal, S., Lloyd, R.M., ... & Rosen, C.L. (2016). Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 12(6), 785.</p><p>Valrie, C. R., Bromberg, M. H., Palermo, T., & Schanberg, L. E. (2013). A systematic review of sleep in pediatric pain populations. Journal of developmental and behavioral pediatrics: JDBP, 34(2), 120.</p>

 

 

 

 

Chronic pain: Effective parenting for teens3654.00000000000Chronic pain: Effective parenting for teensChronic pain: Effective parenting for teensCEnglishPain/AnaesthesiaTeen (13-18 years)NANervous systemConditions and diseases;Symptoms;Non-drug treatmentAdult (19+) CaregiversPain2019-01-25T05:00:00Z9.5000000000000054.30000000000001522.00000000000Flat ContentHealth A-Z<p>​​​Find out how you can support the 3Ps of pain management with effective parenting strategies for your teen with chronic pain.</p><h2>Key points</h2><ul><li>Encourage your teen to keep to their normal routines as much as they can, but strike a balance between ground rules and your teen's growing independence.</li><li>Help your teen with upcoming transitions, including accessing supports in post-secondary institutions and receiving care in the adult health system.</li><li>Avoid dismissing or over-focusing on your teen's pain, offering "secondary gains" or isolating your child.</li><li>Be sure to look after yourself so you can support your child. If you have any concerns about your or your child's wellbeing, seek professional help.</li></ul><h2>Keeping routines</h2><p>One of the best ways to help your teen in <a href="/Article?contentid=2983&language=English">chronic pain</a> is to encourage them to keep to routines. Even if your teen is in pain, getting back into routines (for example, going to school, doing gym class, going to bed at the same time or doing social activities) will help them manage it in the long-run.</p><p>Pain tends to improve once function improves. When encouraging your teen to keep normal routines, strike a balance between your teen's independence and self-advocacy (ability to speak and act for themselves) and the importance of clear ground rules. Decide, for instance, on some core expectations for your teen, such as helping with certain chores or behaving in acceptable ways towards family members, even though they have chronic pain.</p><h3>What if my teen is saying they are too tired to keep their routines?</h3><ul><li>Use pacing.</li><li>Focus on activities your teen enjoys.</li><li>Use rewards as a way of encouraging your teen.</li><li>Draw on professionals to encourage your child.</li><li>Do not hesitate to seek an expert's advice (such as a parenting expert or a health-care provider with expertise in rehabilitation strategies for children and teens).</li></ul><h3>What if my teen is being oppositional about keeping their routines?</h3><ul><li>It is ok to push your teen and set limits on behaviour that you think may lead to more problems (such as missing school, important family activities or being disrespectful).</li><li>Seek out supports. A behavioural therapist can be very helpful.</li></ul><p>As you support your teen in returning to normal routines, remember to be sensitive to the reality of your teen's pain. In many cases, it may be helpful to work with other important people in your teen's life (such as coaches, counsellors or bosses) to discuss and arrange modifications (changes) to their routine. Do not hesitate to reach out to health-care professionals to support you with this.</p><h2>Encouraging good sleep hygiene</h2><p>It is very important for your child to get enough sleep. Lack of sleep (fewer hours of sleep or less restful sleep) can affect your child's mood and their experience of pain.</p> <figure class="asset-c-100"> <img alt="vicious cycle of pain and sleep" src="https://assets.aboutkidshealth.ca/akhassets/IMD_ICCP_pain_vicious_cycle_of_pain_and_sleep_EN.jpg" /> </figure> <p>Understand the sleep needs of your teen and follow some standard <a href="https://www.aboutkidshealth.ca/Article?contentid=647&language=English">sleep hygiene guidelines</a> to allow them to get enough sleep and better manage any pain during the day. Some things to consider for teens include:</p><ul><li>avoiding caffeine, high levels of sugar and spicy food within four hours of bedtime</li><li> <a href="https://www.aboutkidshealth.ca/Article?contentid=644&language=English">avoiding screen time</a> for at least an hour before bedtime</li><li>keeping TVs, game consoles, computers and other screen devices outside the bedroom</li><li>encouraging regular exercise outdoors but no vigorous exercise an hour before bedtime</li><li>teaching your teen to relax at bedtime and fall asleep on their own</li></ul><h2>Helping your teen with transitions and uncertainty</h2><p>The teenage years can be a time of transition and can naturally lead to uncertainty. Because chronic pain can be associated with uncertainty, things may be extra tough for your teen.</p><p>As teens approach post-secondary education, we often observe that they make efforts to improve their situation. Outside of their education, it is worth considering new health-care services your teen will transition to when they reach the age for adult care.</p><p>Post-secondary institutions typically have excellent health and psychological services. Encourage your teen to make links with these services once they choose a post-secondary institution and work with them to help manage their chronic pain and any distress.</p><h2>Respecting your teen's growing independence and maturity</h2><p>Whenever possible, collaborate with your teen and make decisions together. For example, you should expect that your teen attends school, but you can make decisions together about what that will look like (for example a gradual re-entry and a goal to settle into the school environment and see friends rather than achieve certain grades right away).</p><h2>What to avoid when responding to your teen's chronic pain</h2><h3>Do not dismiss your teen's pain</h3><p>Because pain is invisible, it is very important to let your teen know that you believe their pain is real.</p><h3>Avoid over-focus on the pain</h3><p>Try not to ask your teen about their pain too often or bring up your teen's pain as a frequent topic of conversation.</p><h3>Do not allow your teen to become isolated</h3><p>Do not allow your teen to stay out of school or away from other places where they can mix with their peers.</p><h3>Avoid being over-protective</h3><p>Do not let your teen's pain affect their increasing independence. It is important at this stage of development for your teen to develop independent strategies to cope with their pain.</p><h3>Do not provide your teen with "secondary gains"</h3><p>With chronic pain, secondary gains are benefits that a teen might receive because of their pain that they would not get otherwise. They might include:</p><ul><li>giving treats to ease discomfort</li><li>bending rules frequently, such as allowing a teen to avoid chores</li><li>tolerating verbal aggression or other unacceptable behaviour</li></ul><h3>Avoid continually searching for an elusive cause for your teen's pain</h3><p>Chronic pain often has no identifiable cause. Seeing more specialists or getting more tests often keeps your and your teen's focus on pain rather than getting on with life.</p><h2>Supporting yourself when a teen has chronic pain</h2><p>Having a teen with chronic pain can be really hard for parents. Taking time for self-care is especially important as it will help you to be your strongest self (and, in turn, implement the pain management strategies as effectively as possible).</p><p>Self-care will look different for everyone, but here are some suggestions:</p><ul><li>ensure you get enough sleep</li><li>exercise</li><li>eat a balanced diet</li><li>socialize with people who make you happy</li><li>do activities or hobbies that you enjoy</li></ul><p>In some cases, it may be helpful to seek personal support for your own needs from a health-care professional. Remember to go easy on yourself and recognize that doing so is ok.</p><table class="akh-table"><tbody><tr><td><p> <strong>Parent of a 16-year-old with chronic pain</strong></p><p>"<em>Don't feel guilty as a parent… It's ok for parents to have bad days too… make time for yourself to stay healthy. Surround yourself with people who understand</em>.</p></td></tr></tbody></table><h2>Supporting your teen if you have chronic pain</h2><p>If you are living with chronic pain, consider how it might be impacting your teen or how you respond to them. Aside from engaging in your own self-care, it may be helpful to speak to a parenting expert.</p><h2>Getting professional help for your teen</h2><p>Seek professional help if you are unsure about any aspect of your teen's care (for example any medication instructions) or if you have any concerns about your teen's mental health. Never hesitate to seek assistance from specialists to support your teen, and help yourself.</p><h2>Websites</h2><p>Website designed to help teens get control of their pain (German Paediatric Pain Centre)<br><a href="http://www.deutsches-kinderschmerzzentrum.de/en/" target="_blank">http://www.deutsches-kinderschmerzzentrum.de/en/</a></p><p>Website where teens can learn the Canadian 24-Hour Movement Guidelines the fun way<br><a href="http://buildyourbestday.participaction.com/en-ca/tutorial" target="_blank">http://buildyourbestday.participaction.com/en-ca/tutorial</a></p><h2>Videos</h2><p>How does your brain respond to pain<br><a href="https://www.youtube.com/watch?v=I7wfDenj6CQ" target="_blank">https://www.youtube.com/watch?v=I7wfDenj6CQ</a></p><p>Seven video mini-series on chronic pain and its management for youth (Pain Bytes)<br><a href="http://www.aci.health.nsw.gov.au/chronic-pain/painbytes" target="_blank">http://www.aci.health.nsw.gov.au/chronic-pain/painbytes</a></p><p>Video explaining the power of the brain and chronic pain<br><a href="https://www.mycarepath.ca/understanding-pain/brain-and-nervous-system-change" target="_blank">https://www.mycarepath.ca/understanding-pain/brain-and-nervous-system-change</a></p><p>Video describing pacing<br><a href="https://www.mycarepath.ca/managing-pain/paced-practiced-and-increasing-activities" target="_blank">https://www.mycarepath.ca/managing-pain/paced-practiced-and-increasing-activities</a></p><p>Teenagers talk about their chronic pain (longer video)<br><a href="https://www.youtube.com/watch?v=56aWuEt4NA0" target="_blank">https://www.youtube.com/watch?v=56aWuEt4NA0</a></p><p>Teenagers talk about their chronic pain (shorter video)<br><a href="https://www.liveplanbe.ca/real-stories/growing-up-with-pain/ryans-story" target="_blank">https://www.liveplanbe.ca/real-stories/growing-up-with-pain/ryans-story</a></p><p>Content developed by Danielle Ruskin, PhD, CPsych, in collaboration with:<br>Anne Ayling Campos, BScPT, Fiona Campbell, BSc, MD, FRCA, Lisa Isaac, MD, FRCPC, Jennifer Tyrrell, RN, MN, CNeph<br>Hospital for Sick Children</p><h3>References</h3><p>Coakley, R., & Schechter, N. (2013). Chronic pain is like… The clinical use of analogy and metaphor in the treatment of chronic pain in children. Pediatric Pain Letter, 15(1), 1-8.</p><p>Coakley, R. (2016). When Your Child Hurts: Effective Strategies to Increase Comfort, Reduce Stress, and Break the Cycle of Chronic Pain. Yale University Press.</p><p>Carney, C., Carney, C.E., & Manber, R. (2009). Quiet Your Mind & Get to Sleep: Solutions to Insomnia for Those with Depression, Anxiety, Or Chronic Pain. New Harbinger Publications.</p><p>Mayo Clinic: Understanding Pain (<a href="http://www.mayoclinic.org/understanding-pain/art-20208632?pg=1" target="_blank">http://www.mayoclinic.org/understanding-pain/art-20208632?pg=1</a>)</p><p>Mindell, J.A., & Owens, J. A. (2003). Sleep problems in pediatric practice: clinical issues for the pediatric nurse practitioner. Journal of Pediatric Health Care, 17(6), 324-331.</p><p>Paruthi, S., Brooks, L.J., D'Ambrosio, C., Hall, W.A., Kotagal, S., Lloyd, R.M., ... & Rosen, C.L. (2016). Recommended amount of sleep for pediatric populations: a consensus statement of the American Academy of Sleep Medicine. Journal of clinical sleep medicine: JCSM: official publication of the American Academy of Sleep Medicine, 12(6), 785.</p><p>Valrie, C. R., Bromberg, M. H., Palermo, T., & Schanberg, L. E. (2013). A systematic review of sleep in pediatric pain populations. Journal of developmental and behavioral pediatrics: JDBP, 34(2), 120.</p>https://assets.aboutkidshealth.ca/AKHAssets/iCanCopeSCD/improving_communication_through_listening_SCD_J4T.jpgChronic pain: Effective parenting for teensFalse