Course: Pain and Pain Management Learners: Nursing Students DURATION: 6 HOURS/2 S SSIONS

U!on "om!#etion o$ t%e sessions& t%e #earners 'i## (e a(#e to: 1. Compare the characteristics of acute pain, chronic pain, and cancer pain. 2. Explain the pathophysiology of pain. 3. Demonstrate the appropriate use of pain measurement instruments/pain scales. 4. Identify and compare different pharmacologic and non pharmacologic management of pain. !. Explain the physiologic "asis of pain relief inter#entions. $. Explain the impact of pain on health status. %. &se the nursing process as a frame'or( for the care of patients 'ith pain. ). De#elop a plan of care to pre#ent and relie#e the ad#erse effects of analgesic agents. *. De#elop a plan of care for patients 'ith pain TOPICS CONT NT: 1. Definition +f ,ain 2. -ypes +f ,ain/Classification +f ,ain 3. Characteristics +f ,ain 4. ,athophysiology +f ,ain !. .armful Effects +f ,ain $. /actors 0ffecting ,ain 1esponse %. 2ursing 0ssessment +f ,ain %.1 Instruments /or 0ssessing ,ain %.2 ,ain 3cales ). 2urse4s 1ole In ,age 5anagement *. ,ain 5anagement 3trategies *.1 ,harmacologic *.2 2on ,harmacologic *.3 2eurologic 0nd 2eurosurgical 0pproaches -o ,ain 5anagement 16. E#aluating ,ain 5anagement 3trategies 11. 3ample Case 3tudy

Course: Pain and Pain Management Learners: Nursing Students DURATION: 6 HOURS/2 S SSIONS
LEARNING DOMAIN / TOPICS )*C%ara"teristi"s /T+!e O$ Pain Knowledge Comprehen Applicati Analysi Eval ati !ynthe sion on s on sis TOTAL

2*Pat%o!%+sio#o g+ O$ Pain -* $$e"ts O$ Pain and P%arma"o#ogi"a# T. /*Nursing Pro"ess on Patient 'it% Pain ,*Pain Management Strategies 6*Sam!#e Case Stud+ TOTAL !

20

)0

)0

),

),

)0

)0

,0

TOPIC: CO2NITI3

L 3 L:

PATHOPH4SIOLO24 O1 PAIN ANAL4SIS

1. 0 !3 year old patient is as(ing the nurse 'hy he is experiencing chronic, lo' "ac( pain. -he nurse correctly explains to the patient that pain is percei#ed and interpreted in 'hich of the follo'ing "rain structures= 0. 5edulla +"longata ;. 3pinal Cord C. Cere"ral Cortex D. ;rain 3tem.

TOPIC: 11 CTS O1 PAIN AND PHARMACOLO2IC TR ATM NT CO2NITI3 L 3 L: 3ALUATION 1. 7hen assessing a patient for possi"le side effects related to acetaminophen 8-ylenol9, the pain management nurse as(s the patient a"out the use of: 0. alcohol. ;. mari<uana. C. opioids. D. to"acco.

TOPIC: CO2NITI3

L 3 L:

NURSIN2 PROC SS ON PATI NT 5/ PAIN 3ALUATION

2. 7hich medication is the "est choice to treat "rea(through pain for a patient 'ho is currently recei#ing methadone 8Dolophine9, 16 mg, e#ery ) hours= 0. 5ethadone 8Dolophine9 ;. Immediate release morphine 853 I19 C. 3ustained release morphine 853 Contin9 D. -ransdermal fentanyl 8Duragesic9

TOPIC: CO2NITI3

L 3 L:

Pain Management Strategies APPLICATION

2. 7hen teaching a $! year old patient to use a pain scale, the nurse anticipates that: 0. additional time is needed for the patient to process the information. ;. older adults are una"le to use pain scales relia"ly. C. the ,ain 0ssessment in 0d#anced Dementia 3cale is appropriate for the patient. D. the patient4s family is included in the education sessions.

TOPIC: CO2NITI3

L 3 L:

SAMPL CAS a!!#i"ation

STUD4

3. 0n )! year old male patient, 'ith a history of prostate cancer and metastasis to the lum"ar spine, is recei#ing methadone 8Dolophine9, 16 mg, 3 times a day. -he patient4s 'ife tells the pain management nurse that her hus"and exhi"its a lac( of moti#ation, loss of appetite, and an ina"ility to get out of "ed. +n formulating 2ursing Care ,lan the nurse initially focuses her 2C, on patient?s: 0. need for antipsychotics. ;. pain assessment. C. physical therapy e#aluation. D. psychological e#aluation.

TH M : OPTIONS: 0. ;. C. D. E.

PATHOPH4SIOLO24 O1 PAIN

5edulla +"longata 3pinal Cord Cere"ral Cortex ;rain 3tem. .ypothalamus

/. -halamus >. ;rain 3tem .. ,ons I. Cere"ellum

1. 0 !3 year old patient is as(ing the nurse 'hy he is experiencing chronic, lo' "ac( pain. -he nurse correctly explains to the patient that pain is percei#ed and interpreted in 'hich of the follo'ing "rain structures= 0ns'er C. Cere"ral Cortex 6T ND D MATCHIN2 T4P TH M : PHARMACOLO24 1OR PAIN 2. 0 32 y.o. patient as(s the nurse 'hy he is experiencing nausea and #omiting 1. 0 time client 'ith neuropathy a "urning, electrical type in the e#ery she is dia"etic experiencing se#ere reports pain. -he nurse correctly responded to lo'er extremities that is not responding to 230IDs. @ou anticipate that the the patient if she 'as a"le to explain that this is due to in#ol#ement of 'hich physician 'ill order 'hich ad<u#ant medication for this type of pain= 023: "rain structure= 0ns'er 0. 5edulla +"longata A. 0mitriptyline 3. 0fter the doctor?s rounds, the patient 'ho is diagnosed 'ith moderate to 2. 7hich of medications should theControl nurse anticipates to 'ill se#ere pain isthe stillfollo'ing confused a"out the term F>ate -heoryG. @ou prescri"e for patient"y 'ith cancer pain= .. 5orphine reinforce his (no'ledge explaining that the "ody structure mainly in#ol#e in gate control theory is the= 0ns'er ;. 3pinal Cord 0. 0cetaminophen ;. 0miodarone C. 0CE inhi"itors D. 0spirin E. 0tenolol /. ;leomycin >. I"uprofen .. 5orphine I. 5etronidaDole A. 0mitriptyline B. ,aracetamol C. ,enicillin 5. ,rednisone 2. ,rocainamide +. Demerol ,. 3ulfasalaDine E. -etracycline 1. +xycodone

SUPPL4 T4P : CAS SC NARIO:

0 4! year old male patient reports pain in his foot that mo#es up along his calf, is recei#ing i"uprofen 85otrin9 466 mg, t'ice a day. -he patient states, H5y right foot feels li(e it is on fire.H -he patient further descri"es that he has no pre#ious history of in<uries or falls, and that his pain started yesterday. 1ORMULATIN2 NURSIN2 CAR PLAN S4NTH SIS