Pain & Palliative Care
Pediatric Pain Management in Knoxville
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.
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.
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
Teresa Combs is board certified in massage therapy and also licensed in
the state of Tennessee. In 2002, Teresa became Nationally Certified in
Therapeutic Massage and Bodywork in Baltimore, MD. 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 massage therapist."
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.
Pain and Palliative Care at East Tennessee Children’s Hospital is
Lorna Keeton PNP, Teresa Combs and Joni Pappas. Call us at (865) 541-8685 if you interested
in learning more.