![]() In the feasibility portion, parents used the app while their child was admitted to hospital following surgery. The app has been previously evaluated for safety and ease of use and was improved following several rounds of usability and feasibility testing in hospital. To address this, the Digital Health Innovation Lab (DHIL) at BC Children’s Hospital (BCCH, Vancouver, BC, Canada) has developed Panda, a mobile phone app designed to support parents in performing three primary tasks: (1) assessing their child’s pain using digitized versions of validated self-report pain tools, (2) scheduling medication reminders using alerts, and (3) tracking medications administered and pain histories. Thus, there is still a need for an app to support parents in managing their child’s pain after they leave the hospital. The PediPain app developed by SickKids (a major pediatric hospital in Toronto, ON, Canada) is a pediatric pain and medication dosing app, but it is designed for nurses and doctors in the hospital. A recent review of commercially available mobile phone apps for postoperative pain management demonstrated a lack of evidence-based content, and few were designed for use in children. ![]() Thus far, apps used for self-management of acute sickle cell crisis, chronic pediatric cancer pain, burn recovery, and diabetes have shown promise with patient engagement, reduction of anxiety or pain scores, improved self-management, and overall user satisfaction. There are opportunities for mobile phone apps to guide and improve postoperative pain management for patients after they leave the hospital. There can also be misconceptions about the effects and safety of medications. ![]() Pain may be managed less effectively by parents or caregivers at home than by health care professionals in hospital due to the challenges faced in assessing a child’s pain, following prescription schedules, and calculating doses. Unfortunately, studies have suggested that children frequently experience significant pain following discharge from hospital and that poorly managed postsurgical pain can contribute to significant long-term problems. A range of medications may be prescribed to manage pain during recovery from ambulatory procedures. The number of pediatric outpatient surgical procedures is increasing.
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