PAMI 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 online access to all PAMI products. Materials are available for download and reproduction for educational and reference purposes. If you have any feedback (experiences, stories, comments, suggestions, or corrections), please email us at

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/Spanish and also English/Haitian Creole.

Discharge Planning Toolkit for Pain

The PAMI Discharge Planning Toolkit for Pain consists of an algorithm, a pain risk factor assessment form, 19 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.

Pain Coach and Toolkit Guide

The PAMI Pain Coach and Toolkit Guide provides a comprehensive set of resources for institutions to develop a pain coaching education program within their setting. It contains a rationale for developing a pain education model, resources to hire and train a pain coach, information on integrative pain management resources and suggested data collection and evaluation tools.

Nonpharmacologic Toolkit

The PAMI Nonpharmacologic and Distraction Toolkit focuses on non-pharmacologic pain management. The free, downloadable toolkit includes topics such as a stepwise approach to pain management that incorporates pharmacologic and non-pharmacologic 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 non-pharmacologic 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.

Pediatric Pain and Fever Dosing Guide

The PAMI Pediatric Pain and Fever Dosing Guide provides dosing information for both Acetaminophen and Ibuprofen. Dosing is based on weight. It has been printed as a refrigerator magnet for distribution to parents of pediatric patients. The guide can be downloaded to use electronically or can be printed as a hard-copy.

Virtual Reality

The PAMI Virtual Reality Viewer is a tool recommended for non-pharmacologic 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. PAMI maintains a handout with a list of free VR options organized by age group. There is also a video how-to guide for the viewer.


Aromatherapy is the use of essential oils from plants (flowers, herbs, or trees) as an integrative health approach. The essential oils are most often used by inhaling them or by applying a diluted form to the skin. It is the promotion and harmonization of emotional, physical and spiritual health through the application of these extracts. Learn more about using aromatherapy and essential oils by reading more.

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.

Patient Resources

We have compiled resources to access pain management information for your personal use, to support a family member or loved one, or to share with your providers to discuss options during appointments.