ELNEC Graduate Student Module 3: Pain Management in Palliative Care
Welcome to the Pain Management Module in the ELNEC Graduate Student Curriculum. This module builds on the concepts presented in Module 1, Introduction to Palliative Care Nursing and will outline the general strategies related to pain assessment and management, with attention to the role of nurses with graduate preparation. Advanced practice nurses and the comprehensive assessments they perform are key as they work with patients, family, and the interprofessional team to develop a plan to treat and manage pain. Pain must be understood as a biopsychosocial/spiritual experience and should therefore be treated using a multidimensional approach (e.g. pharmacologic and non-pharmacologic therapies and additional consults with pain and addiction specialists, radiation oncologists, mental health professionals, rehabilitation therapists, complimentary medicine experts, spiritual guides, chaplains, etc.). Special attention will be devoted to issues related to prescribing and risk mitigation, particularly important given the current climate of an opioid epidemic and the interface of this public health crisis balanced with the challenge of inadequately relieved pain. Your advanced practice nursing role is very important, as you contribute your expertise in assessing the multiple dimensions of pain, advocating for good pain management, safely prescribing an effective analgesic regimen, while always providing compassionate care to patients, in an effort to prevent suffering.
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Course Code: PSCC-ELNEC-GRAD-3
Hours: 1
Type: Online Course
Content Expiration Date: 12/31/2027
Outline:
Section 1: Introduction
A. About This Course
B. Learning Objectives
Section 2: Advanced Pain Assessment
A. Pain Is Multidimensional
B. Types of Pain
C. Important Definitions
D. Pain Assessment
E. Pain Assessment Video
F. Physical Examination
G. Diagnostics
Section 3: Pain Management
A. Groups at Risk for Poor Pain Management
a. Children
b. Older adults
B. Common Pharmacologic Management
a.Non- Opioids
1. Acetaminophen
2. NSAIDs
b. Commonly Used Opioids
1.Mechanisms of action
2. Adverse effects
C.Routes of Administration
D Principles of Opioid Pain Management
E. Opioid Equianalgesia
F. Adjuvant Therapy
1. Antidepressants
2. Anticonvulsants
3. Corticosteroids
G. Non-Pharmacologic Strategies
Section 4: Safe Practice
A. Universal Precautions
B. Risk Evaluation & Mitigation
C. Opioid Use
D. Screening for High-Risk Behaviors
E. Opioid Management Agreements
F. Patient Education
Section 5: Conclusion
A. Summary
B. Course Contributor
C. References
D. Congratulations
Instructor: The National ELNEC Project
Relias Learning will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Relias Learning has a grievance policy in place to facilitate reports of dissatisfaction. Relias Learning will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias Learning at support@reliaslearning.com.
Course Delivery Method and Format
Asynchronous Distance Learning with interactivity which includes quizzes with questions/answers, and posttests.