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Pain Management in Nursing

  • : Melbourne VIC 3001

 

Overview

 

This seminar enhances knowledge of pain management and provides updates on new evidence-based pain management strategies and technologies. Using the latest information and research, participants will be able to improve care for people with chronic, persistent and advanced pain, including pain associated with cancer. The seminar will include complex case studies and is aligned with the National Pain Strategy.

 

Need for Program

To evaluate and manage pain in a person-centred way, nurses need to understand the unique experience of pain and be well informed about the latest developments in pain management. Nurses are now managing the increasingly complex needs of an ageing population, this includes management of chronic pain conditions, persistent pain and pain associated with cancer. It is essential that nurses keep pace with advances in pain management, including new pharmacological and complementary therapies.

Purpose of Program

This seminar enhances knowledge of pain management and provides updates on new evidence-based pain management strategies and technologies. Using the latest information and research, participants will be able to improve care for people with chronic, persistent and advanced pain, including pain associated with cancer. The seminar will include complex case studies and is aligned with the National Pain Strategy.

Learning Outcomes

At the conclusion of this program it is expected that the participants will be able to:

  • Examine definitions of pain and develop an understanding of the different types of pain and how this relates to nursing interventions, pain management strategies and patient outcomes.
  • Consider why pain is a unique experience that requires a tailored, patient-centred approach.
  • Develop skills in formulating a plan of nursing care for a person with complex pain management needs.
  • Critique documentation styles and tools, and be able to clearly document pain management in a competent and concise manner.
  • Schedule Day One


    8:30am - Registration and Refreshments


    9:00am

    Chronic Pain and How it Differs to Acute Pain

    Revision of important concepts, including:

    • Definition of pain
    • Pain thresholds in different individuals – an overview of pain mechanisms and pathways, and sensitising or modulating factors
    • Fears and anxieties: the psychological impact of pain on people.


    10:30am - Morning Tea and Coffee


    11:00am

    Nursing Assessment – The Key to Effective Pain Management

    Understanding effective pain management:

    • How do the signs and symptoms of chronic pain differ from those encountered in acute pain?
    • Which assessment tools and skills ensure that a comprehensive pain assessment has been undertaken?
    • How often should chronic pain be re-assessed?
    • Assessing and recording the impact of persistent pain on the activities of daily living
    • Documentation of your assessment findings, including reports to other members of the multi-disciplinary team

    12:15pm

    Long-term Pain Management – Principles, Policies and Dilemmas

    Chronic pain is prevalent and challenging to manage effectively. This session will include examples of clinical dilemmas and possible solutions.

    • What is meant by the term 'therapeutic window'?
    • How do you know when someone who cannot communicate, and who you believe is in pain, is well managed?
    • What can be done about intractable pain?
    • Discussion of types of chronic pain and nursing management interventions.

    1:00pm - Lunch Break and Networking


    2:00pm

    Analgesics for Chronic Pain

    Analgesics take many forms and have varied modes and durations of action.

    • Discussion of a range of analgesics and other medications that may be prescribed for reducing pain, including the benefits and risks of patient-controlled analgesia.
    • Ointment, patch, tablet or pump? Deciding which form of analgesia to administer and comments about the common side effects or complications.
    • What is meant by a co-analgesic or opioid-sparing analgesic?

    3:00pm - Afternoon Tea and Coffee


    3:30pm

    Case Studies and Group Work

    Three small group case studies will be discussed, to formulate suggested management options for a variety of scenarios in persistent pain management. These include:

    • Lower back pain – arthritis
    • Neuropathies e.g. diabetic neuropathy
    • Post-herpetic neuralgia i.e. shingles.

    4:15pm - Close of Day One of Program

    Day Two

    9:00am - Commencement of Day Two


    9:00am

    Pain in Patients with Advanced Cancer

    Cancer is prevalent in our community and its association to pain is well known.

    • Incidence in patients with advanced cancer – one pain or many?
    • Causative factors – disease process, treatments, general illness factors.
    • The presence of suffering due to pain or an aggravating factor?
    • Why some cancer pains ache and others burn – nociceptive versus neuropathic, or both, types of pain.
    • Overview of cancer pain terminology.

    9:30am

    Pain Assessment – The Fifth Vital Sign
    • Taking a comprehensive history – physical, social, emotional, psychological and spiritual, all important factors in cancer pain management.
    • Characteristics of pain, provocative and palliative factors.
    • Use of validated pain assessment tools.
    • The difference between acute, chronic, incident pain and the various pain syndromes in cancer disease.
    • Documentation considerations, including documenting beyond the numeric rating scale, documenting your reports to other members of the multi-disciplinary team, and documenting the impact of cancer pain on daily activities.

    10:30am - Morning Tea and Coffee


    11:00am

    Principles of Cancer Pain Management and Goals of Treatment

    General principles of medication management of cancer pain:

    • Negotiating patient centred goals of analgesia
    • Opioids – in depth review of opioid drugs, methods of administration, dose titration and equianalgesic dosing
    • Management of opioid induced side effects
    • Non-opioid drugs and adjuvant medications
    • Dosing considerations in the elderly
    • What to do when analgesia is not successful?

    12:30pm - Lunch Break and Networking


    1:30pm

    More Cancer Pain Management Options
    • Review of interventional procedures or blocks and treatments for tumour debulking and pain reduction.
    • Physical and psychological therapies.
    • Complementary therapies and their role in cancer pain management.
    • Pain management devices and implantable therapies.
    • Relaxation and distraction techniques.
    • Management of impaired sleep.

    3:00pm - Afternoon Tea and Coffee


    3:30pm

    Case Studies and Group Work

    Small group case studies to formulate suggested management options for a variety of scenarios in advanced cancer patients:

    • Prostate cancer – e.g. bone, bowel and bladder related pains
    • Lung cancer – e.g. brain, bone and nerve plexus related pains
    • Breast cancer – e.g. bone, brain and liver related pains.

    4:15pm - Close of Seminar and Evaluations

    Presenters


    Dale Long

    Dale Long

    Dale Long is a Registered Nurse who has worked in various cancer care, palliative care and pain management roles in inpatient and domiciliary settings for the past 25 years, in both Victoria and Queensland. She is an experienced presenter with a strong commitment to educating nurses to improve the quality of pain management delivered to patients. Dale is a Member of the Australian Pain Society.

Title
Pain Management in Nursing
Speciality Classification
Location
Type
Delivery
Provider Type
RTO
Duration
10 hours 30 mins
Start Date
01-Sep-2016
End Date
02-Sep-2016
CPD
10 hours 30 mins
Fees
$495.00
Location
Melbourne VIC 3001
Venue
Hotel IBIS - Therry Street, 15-21 Therry Street
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