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Pediatric pain guide for caregivers: Comfort approaches

Learn about pediatric pain and how to manage it

Our approach to comfort

At BC Children's Hospital, we make comfort a priority. We call our approach to supporting infants, children, youth and families during procedures our  Comfort PACT (Pain addressed, comfort tended) protocol.

This protocol consists of five strategies to promote comfort and reduce pain whenever possible.

About our Comfort Protocol

Learn how we will promote your child's comfort at every clinical encounter with our Comfort PACT protocol.

Our protocol has five key approaches:

Or, view our one-page summary of how and why we promote comfort.

What you can do

You can help your child by using the Comfort Protocol too.

  • Prepare your child for the procedure
  • Communicate clearly and calmly.
  • Use a comfort hold.
  • Choose a distraction with your child before the procedure. You may want to bring a device or toy from home. 
  • Use medication when needed, like topical anesthetic, or sucrose (for babies up to 1 year). You can learn more under the Medication tab.

Special circumstances

Our comfort protocol consists of 5 approaches: preparation, communication, comfort positions, alternate focus, and medication

Learn more about comfort measures

Learn how you can partner with your healthcare team, and apply the Comfort Protocol, with this guide from our ChildKind Patient Advisory Group.

If your baby is coming in for a minor procedure, you can use this tool to choose the best comfort measures for your baby.

Our Child Life Specialists can also help with your child's comfort.

Pain care at BC Children's

BC Children’s Hospital promotes a balanced, collaborative partnership between:

  • The person receiving care,
  • Their caregiver(s), supporter(s), and family, and
  • Staff and healthcare professionals within the organization and community.  

We are committed to improving health outcomes and services. Learn about our approach in Mind-body techniques: Helping children to cope with painful procedures.

For more information about supporting your child’s pain and services available at BC Children’s go to our Pain management and comfort webpage.