Workshop Manual - Faculty of pain medicine - Australian and New ...

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Possible barriers: • Patient factors — Patients may expect to have pain — Patients may not seek help — Patients may see complaining about pain as a weakness • Drugs — Supply may be unreliable — Appropriate drugs missing from the hospital formulary — Appropriate preparations not available (e.g. fast release oral morphine) • Health workers — Not enough workers — Workers too busy — Workers may not recognize pain — Workers may have inadequate knowledge about pain and its treatment — Workers may be unable to prescribe or give appropriate drugs • System issues — No culture of pain assessment and management — No protocols — No forms for recording pain (e.g. on post-op obs charts or routine vital signs charts) BARRIERS TO PAIN TREATMENT 26 ESSENTIAL PAIN MANAGEMENT
BASIC APPROACH TO PAIN MANAGEMENT R = RECOGNIZE A = ASSESS T = TREAT 1. RECOGNIZE We sometimes forget to ask whether the patient has pain and sometimes patients don’t or can’t tell us. If you don’t look or ask, you don’t find! Does the patient have pain • Ask • Look (frowning, moving easily or not, sweating) Do other people know the patient has pain • Other health workers • Patient’s family BASIC APPROACH TO PAIN MANAGEMENT ESSENTIAL PAIN MANAGEMENT 27
Page 1: ESSENTIAL PAIN MANAGEMENT Workshop
Page 4 and 5: Essential Pain Management by Wayne
Page 6 and 7: INTRODUCTION Pain affects all of us
Page 8 and 9: WHY SHOULD WE TREAT PAIN CASE 1: Mr
Page 10 and 11: CLASSIFICATION OF PAIN Not all pain
Page 12 and 13: PHYSIOLOGY AND PATHOLOGY Understand
Page 14 and 15: The pain pathway 1. Periphery (Fig
Page 16 and 17: 2. Spinal cord (Fig 4) • The dors
Page 18 and 19: 4. Modulation (Fig 6) • The pain
Page 20 and 21: PAIN TREATMENT Because many factors
Page 22 and 23: Non-drug treatments Both physical a
Page 24 and 25: Where do analgesics work Local anae
Page 26 and 27: Drug effectiveness The effectivenes
Page 30 and 31: 2. ASSESS To treat pain better, we
Page 32 and 33: 3. TREAT Treatment can be divided i
Page 34 and 35: PAIN MANAGEMENT EXAMPLES EXAMPLE 1:
Page 36 and 37: EXAMPLE 3: 24-year-old woman with a
Page 38 and 39: EXAMPLE 4: 12-year-old girl with bu
Page 40 and 41: EXAMPLE 5: 51-year-old man with 2 y
Page 42 and 43: EXAMPLE 6: 55-year-old woman with m
Page 44 and 45: CASE DISCUSSIONS CASE 1: A 22-year-
Page 46 and 47: CASE 3: A 5-year-old girl has advan
Page 48 and 49: DISCUSSION TOPICS TOPIC 1: Treatmen
Page 50 and 51: APPENDICES Appendix 1: WHO Essentia
Page 52 and 53: Appendix 2: Medicine Formulary for
Page 54 and 55: Pethidine Generally very safe As fo
Page 56 and 57: Appendix 3: Paediatric Medicine Dos
Page 58 and 59: Appendix 5: Using Morphine for Canc

Workshop Manual - Faculty of pain medicine - Australian and New ...

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