In this course, you will be able to develop a systems view for assessing and managing pain in the palliative care setting. By the end of the course, you will be able to: 1) Describe the pain problem in the palliative care setting; 2) Assess a person’s pain, 3) Explain the benefits of integrative therapies and pharmacologic strategies to manage pain.
Este curso faz parte do Programa de cursos integrados Palliative Care: It's Not Just Hospice Anymore
Pain Management: Easing Pain in Palliative Care
oferecido por
Programa de cursos integrados Palliative Care: It's Not Just Hospice AnymoreUniversity of Colorado System
Programa - O que você aprenderá com este curso
Semana
1Pain
In this module, you will review pain assessment basics. You will start with defining pain and the scope of the pain problem in the palliative care setting. You will review various pain types and causes of pain in people with serious illness. To understand how pain medications and integrative pain therapies work to decrease pain, you need to know how the body recognizes pain and makes a person hurt. Common barriers to good pain management and myths and misconceptions will be discussed. You will review how to evaluate a person’s pain and how to know if persons are having pain when they cannot tell you. Remember pain is a personal experience.
8 videos (Total 45 min), 8 leituras, 1 teste
8 videos
What is Pain?7min
How is Pain Transmitted6min
Barriers to Pain Control6min
Pain Assessment Basics6min
Other Things to Know About Pain6min
A Conversation Between Francis, Mildred, and Harri3min
Assessing Pain in the Nonverbal or Cognitively Impaired6min
8 leituras
About Us: Palliative Care Specialization Team at CU Anschutz10min
Introduction to Pain Information10min
What is Pain?min
How Pain is Transmitted20min
Barriers to Pain Control10min
Pain Assessment Basics45min
Francis and Mildred Case Story and Story and Case Study: Background10min
How Do You Know a Person Has Pain If They Can't Tell You?min
1 exercício prático
Pain Assessment30min
Semana
2Non-Pharmacological pain treatment
In this module, you will review the many dimensions that can affect the way pain is expressed and how it responds to treatment. You will also review various integrative therapies or healing practices that focus on the relationship between the provider and whole person, including the mind, body, and spirit, to improve health, healing, and pain. You will start with defining complementary and alternative therapies and understanding the difference between the two. You will review four integrative health domains as defined by the National Center for Integrative Health which is part of the National Institutes of Health. Finally, you will evaluate the best evidence about the use of these therapies in managing pain in people with serious illness. Remember, it is important to ask patients if they use integrative health therapies. Try to understand their past experiences and attitudes toward non-drug treatments. The key is to find out what works for the person in pain with his/her unique characteristics. As caregivers we need to be open to various approaches and our patient’s wishes.
6 videos (Total 40 min), 6 leituras, 1 teste
6 videos
Integrative Therapies6min
Traditional Body-based Therapies8min
Nontraditional Body-based Therapies5min
Mind Body Therapies6min
Topical Therapies5min
6 leituras
Many Dimensions of Painmin
Integrative Therapies10min
Traditional Body-based Therapies10min
Nontraditional Body-based Therapies10min
Mind Body Therapies10min
Topical Therapiesmin
1 exercício prático
Non-Pharmacological Pain Treatment Assessment30min
Semana
3medication management (including over the counter and non-opioid medicines)
When people have pain their quality of life can be poor and they can experience more suffering. In this module, you will learn about non-opioid medications that can be used to treat pain and ease suffering.
4 videos (Total 17 min), 3 leituras, 1 teste
4 videos
What Non-Opioids to Use and When? Part 13min
What Non-Opioids to Use and When? Part 24min
Common Side Effects3min
3 leituras
Easing Pain with Non-Opioid15min
What Non-Opioid to Use and When?30min
Common Side Effects40min
1 exercício prático
Medication Management Assessment20min
Semana
4Opioids, safety, and addiction
When people have pain their quality of life can be poor and they can experience more suffering. In this module, you will learn about opioid medications that can be used to treat pain and ease suffering.
5 videos (Total 26 min), 4 leituras, 1 teste
5 videos
Opioids in Pill and IV Form4min
Changing From One Opioid to Another - Part 15min
Changing From One Opioid to Another - Part 26min
Addiction, Pseudo-Addiction, Physical Dependence, and Tolerance5min
4 leituras
Easing Pain with Opioids20min
Opioids in Pill and IV Form20min
Changing From One Opioid to Another30min
Addiction, Pseudo-Addiction, Physical Dependence, and Tolerance45min
1 exercício prático
Opioid Safety and Addiction Assessment30min
Instrutores
Regina Fink
Associate ProfessorGeneral Internal Medicine
Maurice Scott
MDUniversity of Colorado - Palliative Medicine
Kelly Arora
Co-Director, Interprofessional Graduate Certificate & Master of Science in Palliative Care (MSPC), Allied Health ProfessionalsUniversity
Amos Bailey
Director, Interprofessional Graduate Palliative Care Certificate/Master of Science in Palliative CareInternal Medicine University of Colorado Anschutz Medical Campus
Nancy Robertson
Nurse PractitionerUniversity of Colorado Anschutz medical Campus
Sobre University of Colorado System
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Sobre o Programa de cursos integrados Palliative Care: It's Not Just Hospice Anymore
People living with serious, life-limiting, chronic illness experience significant suffering. Fortunately there are new and developing treatments which may cure some and improve survival for many people living with serious illness. However, seriously ill people and their loved ones still experience many distressing physical symptoms as well as spiritual, social and psychological distress. There is much we can do to support people to live well with serious and life-limiting illness by understanding the causes of suffering, using effective communications, and incorporating careful assessments and interventions designed to address specific needs.
The Palliative Care: It’s not Just Hospice Specialization covers core concepts on the nature of suffering and demonstrates how to evaluate suffering and illustrates this in realistic patient scenarios. In subsequent weeks we learn and practice specific skills to improve communication with patients and families to help them express their experience, express and understand their core goals and values and our own empathic response. You will also learn about specific problems such as physical pain, fatigue and shortness of breath as well as psychological issues such as depression and anxiety. In addition, spiritual and social distress will be discussed with a focus on the practical evaluation and management of these challenges. All of these skills will enable you to support people to live active and full lives despite serious illness.
Perguntas Frequentes – FAQ
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