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Digital Seminar

Signs of Pediatric Pain & Age-Appropriate Intervention Strategies for Superior Outcomes

Mica Foster, DC
2 Hours 01 Minutes
Audio and Video
Oct 28, 2023
Product Code:
Media Type:
Digital Seminar


Communicating with a child about what they are experiencing mentally or physically and how to address those challenges can be difficult. It is important to get on their level in a manner a child and caregiver can both understand. In this lecture, we will discuss the biopsychosocial model of pain to elucidate the multiple facets of the pain experience. We take the ACE quiz and discuss how it can affect cardiometabolic and mental health later in life.  We will also discuss what this questionnaire is lacking to help us implement more comprehensive therapeutic approaches for health and resilience.  

A child’s nervous system is under constant construction which provides a great framework for neuroplasticity and rapid changes for healing. We will provide a framework of brain development and social maturation as it applies to presentation of pain and effective therapeutic communication. We will utilize manual techniques to assist in improving mobility and sensorimotor integration. We will outline developmental-appropriate therapeutic approaches for effective communication, education, and tools for self-regulation to help a child live their best life.  


Planning Committee Disclosure - Relevant relationships

Dr. Danny Porcelli is an independent contractor presenter with RockTape USA. His relevant financial relationship with an ineligible company has been mitigated.
All other members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the remaining committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, and others.

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Program content is reviewed periodically per accrediting board rules for currency and appropriateness for credit. Credit approvals are subject to change. Please note, your state licensing board dictates whether self-study is an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. 
For other credit inquiries not specified below, please contact or 800-844-8260 before purchase.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.  

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.

* Credit Note - ---

Earn up to 2.0 CE hours. Please see below, for more details, as credit amounts vary by state and profession. 

Athletic Trainers

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This self-study program has been approved for a maximum of 2.0 hours of Category A continuing education.


PESI is recognized by the PACE program of the Federation of Chiropractic Licensing Boards. This online course consists of 2.0 clock hours of continuing education instruction. Approval #065428/10282023.

For a list of boards that accept PACE courses, please visit this website:

**Please note that Chiropractors and/or Chiropractor Assistants must complete the post-test and evaluation and answer yes to the PACE Chiropractor question if they would like their participation submitted to PACE.

Occupational Therapists & Occupational Therapy Assistants


PESI, Inc.  is an AOTA Approved Provider of professional development. Course approval ID# 07865. This Distance Learning-Independent is offered at 2.0  CEUs Intermediate, OT Service Delivery. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA.


Arizona Occupational Therapists & Occupational Therapy Assistants

CE credit is available. This self-study course consists of 2.0​ continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 2.0 self-study continuing education credits.

CE Broker

Other Professions

This self-study activity qualifies for 2.0 continuing education clock hours as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements.



Mica Foster, DC's Profile

Mica Foster, DC Related seminars and products

Mica Foster, DC, graduated from University of Bridgeport College of Chiropractic in 2005. She is also a licensed Craniosacral therapist, Reiki Master, HeartMath practitioner and Artist. She has a private practice in Hood River, Oregon. She treats a wide array of musculoskeletal disorders with a focus on finding ease and promoting stress reduction. She enjoys teaching "The art of meditation: drawing mandalas" to all ages. She has created "community coloring collaboration" walls to invite community involvement and communication. She has created "custom color pages for the classroom" to decrease stress and increase focus. Her art therapy has been distributed nationwide. Her illustrations have been featured in the book Ten Fingers Ten Toes Twenty Things Everyone Needs to Know in 2019.


Speaker Disclosures:
Financial: Dr. Mica Foster maintains a private practice. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Mica Foster has no relevant non-financial relationships.

Additional Info

Access for Self-Study (Non-Interactive)

Access never expires for this product.


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  1. Employ evidence-based biopsychosocial systematic therapeutic evaluation and support. 
  2. Comprehend developmental stages of neurological development that influence pain perception, effective communication, and therapeutic outcomes. 
  3. Establish therapeutic skills to improve sensorimotor integration, neuroplasticity and wellness practices for improved participation in activities and treatment.   
  4. Employ mindfulness tools and techniques to promote self-regulation and expressive communication to promote emotional health and help the child live their best life. 



Types of Pain, Signs, Symptoms and Complicating Factors 

  • Birth trauma, injury, surgery 
  • Body postures, gestures, vocalization and tone 
  • Underlying diseases, surgical recovery, toxicity or drug exposure 
  • Expressive communication through art and storytelling 


Evidence-based Biopsychosocial Model of Pain that Influences Outcomes  

  • Biological: physical/environmental: nervous system, alignment, nutrition 
  • Psychological: mental: pain experience, trauma, mood, barely surviving or thriving     
  • Social: engagement: expressive communication, support and independence 
  • ACE questionnaire and it’s missing components 
    • How childhood trauma may influence cardiometabolic health later in life 


Assessment Tools to Effectively Treat Pediatric Patients 

  • Stages of brain development 
  • Social independence  
  • Sensorimotor integration  


Tools to Foster Healthy Neurological and Physical Development  

  • Discover strategic steps to set the tone for therapy 
  • Introduce age-appropriate mindfulness techniques 
  • Promote a child’s ability to expressively communicate and self-regulate 

Target Audience

  • Nurses
  • Nurse Practitioners
  • APRNs
  • Physician Assistants
  • Physicians


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