Integrated Pediatric Pain & Palliative Care Inpatient Services

The Integrated Pediatric Pain & Palliative Care (IP3) inpatient service is available to hospitalized children at UCSF Benioff Children's Hospital 24 hours a day, seven days a week. Our team includes pediatric hospitalists, board-certified pediatric anesthesiologists, board-certified pediatric palliative care physicians, a nurse practitioner, a licensed clinical psychologist and nurses.

The inpatient service is staffed by two teams. The acute/chronic pain team provides comprehensive acute and chronic pain management. The palliative care team provides an extra layer of support for children and families facing serious illness. We work collaboratively with providers from all medical specialties to help bridge the transition home.

Acute/Chronic Pain Team

We embrace innovative and integrative approaches to pain management. Some of our services include:

  • Treatment for acute pain, or short-lived pain related to illness or injury
  • Treatment for chronic pain
  • Treatment for amplified pain, an abnormal pain response
  • Sedation during a medical procedure
  • Regional anesthesia
  • Regional nerve block
  • Complementary and integrative therapies
    • Acupuncture
    • Acupressure
    • Aromatherapy
    • Massage therapy
    • Music therapy
    • Brief cognitive-behavioral therapy
    • Relaxation training
    • Biofeedback
    • Transcutaneous electrical nerve stimulation (TENS) devices

Palliative Care Team

Palliative care is specialized medical care provided by an interdisciplinary team for children with serious illnesses. It focuses on wellness and comfort by providing children and their families with relief from the symptoms and stress of a serious illness. The goal is to improve quality of life for both the child and the family by providing an extra layer of support through partnership, collaboration and individualized care. Palliative care is appropriate at any age and at any stage in a serious illness, and can be provided together with curative or life-prolonging treatment.

Some of our services include:

  • Symptom management (pain, nausea, constipation, shortness of breath, anxiety)
  • Goals of care discussions
  • Assistance with understanding medical conditions
  • Decision-making support
  • Advance care planning
  • Support for emotional, psychological and spiritual issues in developmentally appropriate ways
  • Care coordination for complex, chronic conditions
  • Grief/loss support and counseling
  • Complementary and integrative therapies (massage, acupuncture)
  • Music therapy
  • Art therapy
  • Coordination with hospice agencies
  • Coordination with home-based palliative care supports

Make a Donation

If you are interested in donating to our program, please visit For more information on our program, please contact Lisa Purser at (415) 353-9517.

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Integrated Pediatric Pain & Palliative Care (IP3)

If you would like to have an IP3 inpatient consultation for your child, please speak with your child's care team.

Our Team

Atsuko Baba
Dr. Atsuko Baba,
pediatric anesthesiologist
William Bernal
Dr. William Bernal,
pediatric rheumatologist
Marla Ferschl
Dr. Marla Ferschl,
pediatric anesthesiologist
Audrey Foster-Barber
Dr. Audrey Foster-Barber,
pediatric neurologist
Andrew Infosino
Dr. Andrew Infosino,
pediatric anesthesiologist
Cynthia Kim
Dr. Cynthia Kim,
Efrat Lelkes
Dr. Efrat Lelkes,
pediatric critical care and palliative care physician
Thomas Reid
Dr. Thomas Reid,
palliative care physician
David L. Robinowitz
Dr. David L. Robinowitz,
pediatric anesthesiologist
Karen Sun
Dr. Karen Sun,
pediatric hospitalist
Stephen Wilson
Dr. Stephen Wilson,
pediatric hospitalist
Maurice Zwass
Dr. Maurice Zwass,
pediatric anesthesiologist and pain management specialist
Cristina Benki
Cristina Benki,
pediatric psychologist
Summer Segal
Summer Segal,
grief and loss specialist