A lot of patient-centered and trauma-informed care comes down to the small things:  Noise levels. Lights. Simple procedures, like needle sticks or checking vitals.  In a compelling brief video shot by her mom, one 15 year old provides an honest take on what it's like being a patient. She has clear ideas about some simple ways physicians and nurses can lessen the stress on patients - protecting sleep, engaging and explaining things to her directly, asking her what she wants.

Practicing through a patient-centered lens requires physicians and nurses to attend to the needs, values and preferences of their patients. Trying to provide patients with choices and some degree of control is central to trauma-informed pediatric care.

What are the biggest challenges to learning about your patients' preferences?  In your setting, how do you provide pediatric patients with choices, in the context of the care that they need to receive?