PAMI Products and Resources

Pain Assessment and Management Initiative logo with computer mice

As part of our goal to develop and disseminate educational materials on safe pain management practices for clinicians and patients, we provide free access to all PAMI products on our website. Materials are available to download and reproduce for educational and reference purposes. Once you review the materials, if you have any feedback (experiences, stories, comments, suggestions, or corrections) please email us at We welcome any advice to make this initiative more useful to our users.

An overview of our materials is provided below:

Communication Cards

The Medical Communication Cards are a tool for hospital, ED and EMS providers and their patients. The cards are designed to assist in communication with children and families, especially non-English speakers or non-verbal patients. The cards are available in English and Spanish.

Discharge Planning Toolkit for Pain

The PAMI Discharge Planning Toolkit for Pain consists of an algorithm, a pain risk factor assessment form, 16 patient handouts and four videos. The patient handouts can be easily incorporated into ED, hospital and clinic discharge instructions via electronic medical record dot phrases.

Educational Videos

The PAMI educational videos were developed to provide tips for patients to manage pain after discharge. There is also a video overview of the PAMI Pain Management and Dosing Guide and a video guide to use the PAMI virtual reality viewer.

Nonpharmacologic Toolkit

The PAMI Nonpharmacologic and Distraction Toolkit focuses on nonpharmacologic pain management. The free, downloadable toolkit includes topics such as a stepwise approach to pain management that incorporates pharmacologic and nonpharmacologic measures, therapeutic language, comfort positioning, coaching, distraction, guided imagery and other physical/psychosocial modalities.

Pain Management and Dosing Guide

The PAMI Pain Management and Dosing Guide is a comprehensive tool for pain management in hospital, EMS and emergency settings for adult and pediatric patients. It provides pharmacologic and nonpharmacologic options, including oral, nasal, parenteral and topical medications for acute and chronic pain, anxiety and procedural sedation, as well as patient safety and discharge planning. Dosing ranges should be used as a general guide and adapted to patient characteristics and age. The guide is available to print as a trifold brochure (prints best as legal size 8.5″ x 14″) or it can be used electronically on mobile devices. There is also a video overview of the guide.

Virtual Reality

The PAMI Virtual Reality Viewer is a tool recommended for nonpharmacologic and distraction toolkits to assist adult and pediatric patients. Virtual reality has proven to be an effective way to help patients in managing their pain in a variety of settings. There is also a video how-to guide for the viewer.

Provider Resources

Our team has compiled additional resources and websites related to pain management, which you may find useful in your practice.  This includes pain assessment scales/tools and pain-related websites, which can provide you with valuable free tools.