Lesson 4 - Pain Management in the Adult—Acute and Chronic Pain Acute and chronic pain in the adult client have different causes, methods of diagnoses, and interventions. Effective health care providers understand these differences when they assess and manage their clients' pain. Lesson 5 - Pain Management in Special Populations—Children and the Elderly Helping pediatric and geriatric populations manage their pain requires special consideration regarding the types of medications and strategies chosen, the route through which medications are delivered, and specific comorbidities or metabolic issues that may be present.
Lesson 6 - Pain Management at the End of Life Regardless of the cause, pain is a common symptom in clients who are near death. Healthcare providers must understand the tremendous implications of pain and pain symptoms and prioritize the assessment and optimal treatment of pain in clients near the end of life. Today, there are numerous options for cancer pain management, ranging from more traditional pharmacological treatments to integrative therapies, including complementary and alternative modalities.
Increasingly, research links adequate pain control with improved survival for patients with cancer. The effective treatment of pain for cancer patients must include an examination of all possible treatment modalities in order to ensure the patient receives the most compassionate care available.
The instructional materials required for this course are included in enrollment and will be available online. You must complete all lessons to receive your certificate. Finals are graded as Pass or No Pass. You may retake final exams as many times as necessary within the duration of the course at no additional charge.
Her professional nursing career has involved nursing executive leadership and administration, accreditation consultation, staff development and education, community education and wellness, and holistic care. She has designed, developed, and presented numerous educational programs for audiences covering integrative health, promotion and wellness, and chronic disease management and prevention.
She is the co-author with Caroline Young of two health care textbooks. Caroline Young, M. She has expertise in holistic community health and wellness program design, development, marketing, implementation, and evaluation. She has also designed, developed, and presented integrative health programs for culturally diverse populations, senior populations, and faith communities.
She is the co-author with Cyndie Koopsen of two health care textbooks. Toggle navigation. Close Hidden Field. Daniel Carr, past president of the American Academy of Pain Medicine and professor of public health and community medicine at Tufts University, suggested that these programs might inadvertently be providing something akin to family therapy. Judy Watt-Watson, professor emeritus at the University of Toronto, described an interfaculty prelicensure pain curriculum 8 at the University of Toronto that has been mandatory for students in six training programs since dentistry, medicine, nursing, pharmacy, occupational therapy, and physical therapy Hunter et al.
Physician assistants were also recently added, she said. The hour program is completed over 3 days through a combination of online modules, large and small multiprofessional sessions, and concurrent clinically focused sessions that the students choose. Students are assigned to an interprofessional group of 30 people that is further divided into person interprofessional teams to discuss several patient cases and develop appropriate patient-focused pain management plans.
A facilitator on each team guides the team to ensure respect for the role of the different professions in patient care as well as the need for collaboration and future referrals to colleagues outside of their own profession, said Watt-Watson. Meanwhile, students learn about the relationship between pain and the social determinants of health.
Watt-Watson noted that an outcome of the curriculum is that many of the health science departments are now including more pain content in their curricula. Recently, they have conducted curriculum mappings to identify overlaps and gaps, which along with the many other evaluations, allow them to adapt the program in an iterative fashion. They also have published a pain interprofessional curriculum decision model to share with other institutions what they have learned through the development and evolution of this program, said Watt-Watson Watt-Watson et al.
At the Biomedicine Campus in Phoenix, Arizona, the student-led clinic Student Outreach for Wellness SHOW has partnered with Crossroads, the largest substance abuse recovery residential center in the Southwest, to provide community-based interprofessional direct care and health. SHOW provides a learning laboratory that uses an interprofessional team-based approach to deliver care to vulnerable populations, said Harrell.
The program is run by students and guided by interprofessional faculty from 12 different professional programs. Crossroads has been operating since , originally as a halfway house before transitioning to become a residential substance use treatment program. Their recognition of the need for additional primary care services led to the partnership with SHOW, said Harrell. Kligler also mentioned an acupuncture fellowship at Beth Israel in New York that trained licensed acupuncturists to work in inpatient hospital settings.
In interviews conducted with the acupuncturists, physicians, and nurses, Kligler said he and his colleagues found that when nurses and physicians saw the benefits to their patients, they recommended acupuncture even if they did not know how it worked.
The acupuncturists, meanwhile, felt like outsiders in conventional health care settings, and had to learn more about how hospitals function, said Kligler.
The VA also has some excellent programs in complementary and integrative care, added Kligler. For example, the Empower Veterans Program 10 brings together social work, chaplaincy, physical therapy, and teachers of mindfulness in a week program for veterans with high impact chronic pain. Participation in the program has yielded improved pain outcomes, decreased opioid use, and decreased suicidal thinking, said Kligler.
Another innovative program called Central City Concern in Portland, Oregon, addresses the social determinants of physical and mental illnesses as well as addiction among the homeless through a comprehensive approach that provides naturopaths, acupuncturists, chiropractors, working with a variety of mainstream health care providers while also offering housing, job training, and job placement, said Goldblatt.
Models have also been developed for sustaining both education and care delivery programs after initial grant funding runs out, said Harrell. Given that there is no business model for care programs, she is in the process of building such a model that others can use to replicate. On the education side, Watt-Watson noted that sharing specific curriculum content can be challenging because of copyrights held by the universities where the curricula were developed.
Michele Maiers, executive director of research and innovation at Northwestern Health Sciences University, summed up the discussion by citing the need to customize models of interprofessional and transdisciplinary education to the specific needs of the communities served, including the learning communities. Moreover, she said, in planning for the future it will be important to consider the next generation of health care providers.
Most of them are millennials who are recognized as being highly collaborative with extensive communication networks, said Maiers, adding that they also want to be part of creating new models from the ground up. Leslie Davidson, chair of the department of clinical research and leadership at the George Washington University School of Medicine and Health Science and an occupational therapist who specializes in traumatic brain injury and neurology, added that pain is not a sensation, but a perception which can be described as a complex phenomenon attributed to the confluence of ever-shifting internal and external variables.
Consequently, the treatment of pain is equally complex, with patients at the center requiring a collaborative approach from practitioners with a range of skills. Davidson said,. For example, pain may be particularly debilitating for different reasons depending on the current circumstances and life stressors of the individual.
Turner II, an assistant professor in her depart-. The pain they experience every day and the functional limitations imposed by the pain, frequently lead to depression that may increase their sense of pain and hopelessness, said Davidson. Other important considerations include the roles, priorities, and the sense of purpose or meaningful activity of the person who experiences pain. You can work through the toolkit at your own pace, focusing on areas most important to you.
This course, developed by Stanford University, is an interactive workshop for Spanish speaking adults with all types of chronic conditions.
If you have one or more chronic condition, this program can help you learn the strategies and skills to manage your health and your condition s more effectively and live your everyday life. All the workshop sessions are held in Spanish. Workshop sessions last for 2. Skip directly to site content Skip directly to page options Skip directly to A-Z link. Self-Management Education: Learn More.
Feel Better. Section Navigation. Facebook Twitter LinkedIn Syndicate. Managing Chronic Pain. Minus Related Pages. Amounts appropriated under this subsection shall remain available until expended. July 1, , ch. A prior section i, act July 1, , ch. Another prior section i, act July 1, , ch.
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