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Modules:

  • Introduction
  • 1. Advance Care Planning
  • 2. Communicating Bad News
  • 3. Whole Patient Assessment
  • 4. Pain Management
  • 5. Assisted Suicide Debate
  • 6. Anxiety, Delirium
  • 7. Goals of Care
  • 8. Sudden Illness
  • 9. Medical Futility
  • 10. Common Symptoms
  • 11. Withholding Treatment
  • 12. Last Hours of Living
  • 13. Cultural Issues
  • 14. Religion, Spirituality
  • 15. Legal Issues
  • 16. Social and Psychological
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    Back to Module 4: Pain Management
    Introduction to Pain Management

    Topics Covered in this Module
    Objectives of this Module

    Topics Covered in this Module

    This module is divided into 3 parts:

    Part 1 discusses:

    • Pain assessment
    • Pain pathophysiology
    • Pain management, including:
      • WHO 3-step ladder
      • NSAIDs and acetaminophen
      • Opioid pharmacology
      • Dosing guidelines
      • Opioids that are not recommended
      • Addiction
    Part 2 discusses:
    • Alternate routes of administration
    • Alternate opioids
    • Equianalgesic dosing
    Part 3 discusses:
    • Adjuvant analgesics for:
      • Neuropathic pain
      • Bone pain
      • Bowel obstruction
    • Corticosteroids
    • Topical analgesia
    • Anesthesia/neurosurgery
    • Opioid adverse effects
    • Nonpharmacologic approaches
    • Barriers to pain management
    Note: This module focuses on the assessment and management of physical pain, an important area of competency for physicians. Physical symptoms, other than pain, such as fatigue, dyspnea, nausea, are discussed in Module 10: Common Physical Symptoms. This is not to imply that the other components of suffering (other physical, psychological, social, spiritual, or practical issues) are diminished in their importance. Those factors are covered in part in Module 3: Whole Patient Assessment and elsewhere throughout the curriculum. Regulatory and legal issues related to the prescribing of controlled substances are covered in Module 15: Legal Issues in End of Life Care.

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    Objectives of this Module

    Part 1 objectives:

    1. Compare and contrast nociceptive and neuropathic pain
    2. Know steps of analgesic management
    Part 2 objectives:
    1. Know alternative routes of delivery
    2. Demonstrate ability to convert between opioids while maintaining analgesia
    Part 3 objectives:
    1. Know use of adjuvant analgesic agents
    2. Know adverse effects of analgesics and their management
    3. List barriers to pain management
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