{"id":1391,"date":"2018-04-22T11:47:00","date_gmt":"2018-04-22T05:47:00","guid":{"rendered":"http:\/\/bdpallcare.com\/new\/?p=1391"},"modified":"2018-04-22T11:47:00","modified_gmt":"2018-04-22T05:47:00","slug":"pain-management-topic-guide","status":"publish","type":"post","link":"http:\/\/bdpallcare.com\/new\/2018\/04\/22\/pain-management-topic-guide\/","title":{"rendered":"Pain Management Topic guide"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-medium wp-image-1392\" src=\"http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372-300x300.jpg\" alt=\"\" width=\"300\" height=\"300\" srcset=\"http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372-300x300.jpg 300w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372-150x150.jpg 150w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372-768x768.jpg 768w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372-1024x1024.jpg 1024w, http:\/\/bdpallcare.com\/new\/wp-content\/uploads\/2018\/04\/bigstock-Pain-Concept-35090372.jpg 1600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>Notes: remember pain assessment has already been done.\u00a0 Concentrate on the management of pain<\/p>\n<ul>\n<li>Effective Pain management must be holistic \u2013 define what this is<\/li>\n<li>Introduce WHO pain ladder and the concepts of using it<\/li>\n<li>Opioid pharmacology\n<ul>\n<li>how to use morphine \/ oral and parenteral \/ titration<\/li>\n<li>introduce other opioids eg Fentanyl<\/li>\n<li>managing opioid side effects<\/li>\n<\/ul>\n<\/li>\n<li>Breakthrough pain<\/li>\n<li>Adjuvant analgesics\n<ul>\n<li>Neuropathic pain<\/li>\n<li>Paracetamol<\/li>\n<li>NSAID\u2019s<\/li>\n<li>Steroids<\/li>\n<li>Anti \u2013 cancer treatments (radiotherapy\/chemotherapy etc)<\/li>\n<\/ul>\n<\/li>\n<li>Interventional pain management (keep it simple)<\/li>\n<li>Availability of medications\/accessibility<\/li>\n<li>Non-pharmacological\n<ul>\n<li>How does it work<\/li>\n<li>What types are there (acupuncture\/ relaxation \/ meditation \/ etc)<\/li>\n<\/ul>\n<\/li>\n<li>Psychological care of the patient\n<ul>\n<li>Impact of pain on the patient<\/li>\n<\/ul>\n<\/li>\n<li>Discharge home<\/li>\n<\/ul>\n<p><strong>\u00a0<\/strong><\/p>\n<p><strong>Outcome for audience:<\/strong><\/p>\n<p>Understand holistic nature of pain Management (biopsychosocial model)<\/p>\n<p>Treat pain with opioids and adjuvants<\/p>\n<p>Manage side effects of opioids<\/p>\n<p>Know when and what options for non-pharmacological strategies<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>References:<\/strong><\/p>\n<ol>\n<li>Starting Step III opioids for moderate to severe pain in cancer patients: Dose titration: A systematic review. Pa\u00b0 l Klepstad et al Palliative Medicine 25(5) 424\u2013430<\/li>\n<li>How well is cancer pain treated? Kathleen M Foley Memorial Sloan-Kettering Cancer Center, USA, Palliative Medicine 25(5) 398\u2013401<\/li>\n<li>Is oral morphine still the first choice opioid for moderate to severe cancer pain? A systematic review within the European Palliative Care Research Collaborative guidelines project. Augusto Caraceni. Palliative Medicine 25(5) 402\u2013409<\/li>\n<li>A comparative Efficacy of Amitirptyline, Gabapentin and Pregabalin in Neuropathic Cancer Pain: A prospective randomized doublin-blind placebo-controlled study. AJHPM 2011, Mishra et al.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Notes: remember pain assessment has already been done.\u00a0 Concentrate on the management of pain Effective Pain management must be holistic \u2013 define what this is Introduce WHO pain ladder and the concepts of using it Opioid pharmacology how to use morphine \/ oral and parenteral \/ titration introduce other opioids eg Fentanyl managing opioid side &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"http:\/\/bdpallcare.com\/new\/2018\/04\/22\/pain-management-topic-guide\/\"> <span class=\"screen-reader-text\">Pain Management Topic guide<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1391","post","type-post","status-publish","format-standard","hentry","category-education"],"_links":{"self":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1391","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/comments?post=1391"}],"version-history":[{"count":1,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1391\/revisions"}],"predecessor-version":[{"id":1393,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/posts\/1391\/revisions\/1393"}],"wp:attachment":[{"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/media?parent=1391"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/categories?post=1391"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/bdpallcare.com\/new\/wp-json\/wp\/v2\/tags?post=1391"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}