During pediatric procedures, how should pain management be addressed in CLS collaboration?

• A. Do not discuss pain
• B. Rely solely on sedation
• C. Monitor pain management and coordinate with nurses
• D. Leave pain control entirely to physicians

Answer: (C)

The main idea is that managing a child’s pain during procedures relies on teamwork and active coordination, with the Child Life Specialist partnering closely with nurses and the rest of the medical team. The best approach is to monitor pain management and coordinate with nurses. This means the CLS assesses the child’s pain using age-appropriate scales, observes how the child responds to coping strategies and interventions, and communicates findings and needs to the nursing staff so analgesia or sedation can be timed and adjusted as needed. It also involves applying nonpharmacologic comfort techniques—distraction, relaxation, breathing, comfort positioning, and parental presence—before, during, and after the procedure, all tailored to the child’s development and the specific procedure. By staying engaged throughout, the CLS helps ensure relief is provided promptly and consistently, reducing distress and improving cooperation.

Not discussing pain leaves the child unsupported and increases fear and distress; relying only on sedation ignores the value of coping strategies and can introduce unnecessary risks without addressing ongoing discomfort; and leaving pain control solely to physicians excludes the CLS’s role in emotional support, family involvement, and care coordination that optimize the child’s overall experience.