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Pain & Palliative Care

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.

2018 Annual Report for Pain and Palliative Care

Download Past Reports

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:

  • Nausea
  • Fatigue
  • Irritability
  • Chronic aches and pains
  • Loss of appetite
  • Difficulty swallowing
  • Constipation
  • 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
    Clinical Director

    Lorna Keeton, PNPLorna 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.

    Aromatherapy with Dr. Lorna

    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

    Oliver Hoig, MD, PPC Medical DirectorDr. 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
    Music Therapy

    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.
    Music Therapy with JoniIn 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
    Massage Therapy

    Teresa Combs, CMTIn 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.
    Massage therapy with TeresaShe 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.
  • Jodie Manross, L. Ac
    Licensed Acupuncturist

    Jodie Manross Licensed Acupuncturist, L. AcJodie 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. Acupuncture with Jodie
    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 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.