Compassionate care dictates treatment and, whenever possible, prevention of pain. In the past 25 years the long-term negative biological, psychological, and social consequences of under-treated pain for children and their families have become clear. Although the knowledge base to recognize,…

There have been numerous well-meaning attempts to improve the management of pediatric pain. Unfortunately, educational initiatives, introduction of guidelines, and quality audits centering on pain management have proved insufficient to produce sustained change unless they are viewed as part of…