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

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INTRODUCTION Pain affects all of us – young and old, rich and poor. Pain has many causes – cancer, injury, infection, surgery – and people experience pain in many different ways. Pain is often a “hidden” problem and is often poorly treated. We do not always recognise that a person is in pain. There are also many barriers to the treatment of pain – e.g. people’s attitudes, lack of health workers and lack of medicines. Pain can often be improved with very simple treatments. In some ways, pain is like a rat – something that causes a lot of suffering but is often hidden from view. The letters R.A.T. can also be used to help us manage pain: R = Recognize A = Assess T = Treat The basic aims of this course are: • To improve understanding of pain • To teach a simple framework for managing pain • To reduce pain management barriers 4 ESSENTIAL PAIN MANAGEMENT
WHAT IS PAIN Think of a patient/friend/relative who had pain. How did the person describe the pain How was it treated The International Association for the Study of Pain defines pain in the following way: Pain is “an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”. This definition is quite complicated but some important points can be made: • Pain is unpleasant and therefore, in general, people do not like having pain. • Emotions (psychological aspects) are important. • Pain is not always associated with visible tissue damage. In other words, a patient may be experiencing pain even if we cannot see an obvious cause for it. Another simpler definition of pain is: “Pain is what the person says hurts.” WHAT IS PAIN ESSENTIAL PAIN MANAGEMENT 5
Page 1: ESSENTIAL PAIN MANAGEMENT Workshop
Page 4 and 5: Essential Pain Management by Wayne
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 28 and 29: Possible barriers: • Patient fact
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
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Workshop Manual - Faculty of pain medicine - Australian and New ...

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