Return to Pain and Symptom Management Index Page

Unit I: Pain and Symptom Management
Module 3: Basic Pain Management

MODULE OVERVIEW:

Pain is a frequent problem in any medical practice, whether associated with advanced illness or other acute or chronic conditions. Pain is the physical symptom that patients and families fear most. Although we, as physicians now have very effective treatments at our disposal, pain remains one of the most poorly assessed and treated physical symptoms. Lack of knowledgeable and experienced physicians and myths about addiction continue to be significant barriers to good pain management, contributing unnecessarily to patient and family debilitation and suffering. This module is divided into 7 parts:
  • Part I: Barriers to good pain management
  • Part 2: Pain assessment and pathophysiology
  • Part 3: Pain management: 
    • the World Health Organization (WHO) 3-step ladder
    • NSAIDs and acetaminophen
    • opioid pharmacology, dosing guidelines, 
    • opioids that are not recommended 
    • addiction
    • alternate routes of administration, alternate opioids, and equianalgesic dosing
    • case studies.
  • Part 4: Use of adjuvant analgesics for neuropathic pain, bone pain, bowel obstruction, corticosteroids, topical analgesia, anesthesia/neurosurgery, nonpharmacologic approaches.
  • Part 5: Opioid adverse effects. 
  • Part 6: Summary and "take home" points
  • Part 7: Answers to case studies.

We suggest you begin with Part I and work your way successively through each part of this module. Click on Part I to get started: 

INDEX:

Part 1: Barriers to good pain management
Part 2: Pain assessment
Part 3: Pain treatment
Part 4: Adjuvants to opioids
Part 5: Opioid adverse effects
Part 6: Summary and "take home" points
Part 7: Answers to case studies

ACKNOWLEDGE- MENTS:

Much of this module on pain management was adapted in whole or in part with permission from the Project to Educate Physicians on End-of-Life Care, The EPEC Project, The Robert Wood Johnson Foundation:
  • Emanuel LL, von Gunten CF, Ferris FD. The Education for Physicians on End-of-Life Care (EPEC) curriculum, 1999 (Modules 3 and 4).
  • More EPEC material on end-of-life care is available FREE at http://www.epec.net/

Return to Pain and Symptom Management Index Page