Pain and Palliative Care
Pediatric Pain Management in Knoxville
Call us at
(865) 541-8685 if you interested in learning more about Pain & Palliative Care at
East Tennessee Children's Hospital.
Pediatric palliative care is specialized care that aims to relieve suffering,
improve quality of life, facilitate informed decision making, and assist
in the care coordination of children who have a life-limiting illness.
It is care that is appropriate at any age and at any stage of illness,
together with therapeutic treatment.
We help patients by:
- implementing expert pain and symptom management
- offering integrative treatment modalities such as art, massage, and use
of essential oils
- providing recommendations for management of distressing symptoms associated
with life-limiting illnesses
- supporting and enhancing quality of life through individualized care plans
- promoting healing and comfort with a child- and family-centered approach
Does My Child Need Palliative Care?
Palliative care is focused on alleviating the more severe symptoms of serious
illnesses. There is no one condition that qualifies a patient for palliative
care— it is recommended to anyone who could benefit from the treatment.
Your child may benefit from a palliative consult if a medical condition
or treatment is causing:
- Chronic aches and pains
- Loss of appetite
- Difficulty swallowing
- Skin irritation
We want to help children live happier and healthier. Dealing with medical
symptoms is tough, which is why pain and palliative care addresses the
symptoms of a condition rather than the main issue. While their primary
care physician or medical specialist is treating their condition, we will
be doing our part to improve their quality of day-to-day life.
How You Can Help
Meet Our Staff
Lorna Keeton, PNP
Lorna Keeton began as an RN at East Tennessee Children’s Hospital
in 1997. She became a Certified Pediatric Nurse Practitioner in 2000 and
began her practice as ETCH’s first Acute Care Nurse Practitioner
in their Pediatric ICU. She is double board certified in Acute Care and
Pediatrics, and, as an advanced practice nurse, Lorna practiced 13 years
in the PICU, served as a preceptor to MSN students, and continues as a
guest faculty for the University of Tennessee, Knoxville’s School
of Nursing. In 2014, she began a new role at ETCH with the Anesthesia
Department as their Pain and Palliative Care Nurse Practitioner.
She greatly enjoys her work with children who have acute, complex or chronic
pain, or a life-limiting illness. Lorna is inspired by the challenges
of this population, and she is passionate about finding new and innovative
ways to better serve her patients and their families.
Oliver Hoig M.D.
PPC Medical Director
Dr. Hoig holds a bachelor of music from Westminster Choir College in Princeton,
N.J. and a doctor of medicine from the University of Nebraska Medical
Center, Omaha. He completed residencies in pediatrics at Children's
Mercy Hospital, Kansas City, Mo., and anesthesiology at the University
of Nebraska Medical Center and Children's Memorial Hospital, Omaha.
Joni Pappas MA, MT-BC
Joni Pappas is a board certified music therapist with additional training
in neurologic music therapy. She has practiced for 20 years in the areas
of early childhood intervention, special education, and geriatrics. Joni
received her Bachelor of Arts in Music Education and Vocal Performance
from Calvin College in Grand Rapids, Michigan, and her Masters of Music
Education with an Equivalency in Music Therapy from the University of Iowa.
In addition to her work as a music therapist, Joni also serves as an adjunct
faculty member at the University of Tennessee School of Music.
Teresa Combs, CMT
In 2002, Teresa became Nationally Certified in Therapeutic Massage and
Bodywork in Baltimore, MD. She is board certified in massage therapy and
also licensed in the state of Tennessee. She has over 15 years of experience
in Therapeutic Massage and is Internationally certified in Pediatric Massage
through Liddle Kidz Foundation (TM), including training in NICU, Pediatric
Intensive Care, and Oncology.
She considers it a privilege to work with pediatric patients and their
families, and she is honored to be Children's Hospital's first
Jodie Manross, L. Ac
Jodie Manross is a nationally board-certified acupuncturist. She received
her Bachelor of Arts degree from Appalachian State University in Boone,
NC and her Master’s of Science degree in Clinical Acupuncture from
Tri-State College of Acupuncture (TSCA) in New York City in 2011. At TSCA,
she trained with master acupuncturists who provided treatment to a wide
array of sports and dance injuries - from players of the NY Jets and Giants
(National Football League) as well as NY Yankees and Mets (Major League
Baseball) - to the New York City Ballet and Broadway performers.
Additionally, Jodie has extensive training in pediatric acupuncture and
acupressure and looks forward to furthering work and extolling the benefits
of therapy in this population.
Tammy Childers, MS, APRN, CPNP
Palliative Care Coordinator
Tammy is a Certified Pediatric Nurse Practitioner. She received her Bachelor
of Nursing Degree from Otterbein College in Westerville Ohio in 1991 and
Master’s of Science in Child and Adolescent Health from Wright State
University in Dayton Ohio in 2006. She spent her first 23 years in nursing
caring for children at Nationwide Children’s Hospital where she
pursued a calling to serve children with medical complexity, their families
and health care teams as a Nurse Practitioner with the Complex Health
Care Program. Tammy joined the ETCH team in 2013 and has been privileged
to participate in the care of medically complex patients most recently
as Patient Navigator with the Care Coordination team. She is honored to
continue her passion to serve this special pediatric population as a member
of the Pain and Palliative Care Program.
Photos and Videos
Click here to view our photo gallery.
A Community Effort
To provide the children of our Eastern Tennessee with the best care possible,
we need to come together as a community. Thanks to generous donations
from local institutions and the contributions of our dedicated
volunteers, we continue to improve the lives of our patients every day.
Your donations help support the Pain and Palliative Care program at East
Tennessee Children's Hospital. To make a donation to the program, please
visit our donation page and choose Pain and Palliative Care from the designation menu.
The Pediatric Pain and Palliative Care program at East Tennessee Children’s
Hospital is sponsored by
The Butterfly Fund at the
East Tennessee Foundation,
MindfulnessTN and by
Ronald McDonald House Charities of Knoxville.