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Understanding Pain Management:
Use these links to help understand types of pain and improve pain management.

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American Society for Pain Management Nursing

The American Society for Pain Management Nursing's mission is to advance and promote optimal nursing care for people affected by pain by promoting best nursing practice. This is accomplished through education, standards, advocacy, and research.

• • Position Papers
  • Pain Assessment in the Non-verbal Patient
    A position paper with clinical practice recommendations

What is Pain:

Avoiding Misconceptions in Pain Management
One main reason for this undertreated pain is the existence of several myths and misconceptions regarding pain management. Goal of this summary to dispel these myths and misconceptions.
Free registration required.
http://www.medscape.com/viewarticle/418521


Nursing2002 Study Reveals Nurses Know Pain But Not Narcotics


City of Hope's Pain Management Resources added 9/06
Multiple educational articles, books and publications listed


Algorithm for Pain Assessment and Management
AHRQ: Government guidelines for Acute and Chronic Pain:
Assessment and Management of Acute Pain Assessment Algorithm added 4/23/06
Assessment and Management of Chronic Pain Assessment Algorithm added 4/23/06
Management Algorithm


Narcotic Analgesic Dosage Conversion Chart added 10/18/04
http://www.globalrph.com/narcotic.htm

• Parenteral
• Sustained Release meds

Nifty tool: Narcotic analgesic converter


List drug prices (canadian) too !
Opioid Analgesics Comparison

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ACUTE PAIN:

Australia info:
http://www.medicineau.net.au/clinica...AcutePain.html


CHRONIC PAIN:

From Mayo Clinic: Mar 11, 2002
You have chronic pain: Now what?
This article gives you information that will help you manage your chronic pain.

Chronic pain: When no physical cause can be found

Complex regional pain syndrome


Keep a journal
Feb 21, 2003
Keeping a journal can help you track your pain management progress and determine the therapies or activities that seem most helpful.

Cancer pain treatment: An interview with a Mayo Clinic specialist
Oct 20, 2003


Medication Management:
• Proper use of pain medications reduces likelihood of addiction
• Using pain medications wisely

OTC (Over The Counter)
• OTC pain relievers: Which ones are right for you?

OTC pain reliever guide: Compare before choosing
• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• COX-2 inhibitors
• Acetaminophen
• Topical medications
• Opioids (narcotics)
• Tramadol
• Tricyclic antidepressants
• Antiseizure medications
• Injections


Harvard's Pain Management Service
Pain syndromes exist for which specific therapies are indicated and have been shown to have significant benefit in the literature. Extensive treatment algorithms for basically all painful conditions as listed by the International Association for the Study of Pain (IASP) diagnosis coding system was developed to standardize pain treatments, and enable outcomes to be tracked by diagnosis.


Univ Michigan: Adult Pain Management Staff Education


Pediatric pain management: Infants to Teens

Top 10 things you need to know about pediatric pain management:

From Donna Wong RN, FAAN--Wong on Web added 4/24/2006

Paper:

Principles of Pharmacologic Pain Management in Infants and Children:

The 6 Rights to Relief

Power point: Pain Assessment in Infants and Children

CRIES: Neonatal Postoperative Pain Scale

CHRONIC PAIN MANAGEMENT IN CHILDREN AND ADOLESCENTS

Meeting the Challenge of Pediatric Pain Management CEU added 4/20/2008

The purpose of this course is to inform nurses about the historical difficulties surrounding pediatric pain management, propose pharamacologic and nonpharmacologic treatments, and discuss complexities involved in various pediatric pain management cases.

Palliative Care:

An Approach to Pain Management in Palliative Care
http://www.medicineau.net.au/clinica...lliative3.html

Other Links:
http://www.aapainmanage.org/

http://www.pain.com/frameindex.cfm

http://www.painmed.org/

http://www.painconnection.org/Natio...ess/default.asp

http://www.painresearch.utah.edu/cancerpain/


http://www.paintechnology.com/

http://www.pain-talk.co.uk added 2/9/05

Pain Management: The Online Series AMA CME Series added 3/31/04

http://www.ama-cmeonline.com/

The Programs

Module 1 Pathophysiology of Pain and Pain Assessment (1 credit)

Module 2 Overview of Management Options (1 credit)

Module 3 Barriers to Pain Management and Pain in Special Populations (1 credit)

Module 4 Assessing and Treating Pain in Patients with Substance Abuse Concerns (1 credit)
Module 5 Assessing and Treating Pain in Older Adults (1 credit)
Module 6 Pediatric Pain Management (1 credit)
Module 7 Assessing & Treating Persistent Nonmalignant Pain: an Overview (1 credit)
Module 8 Assessing and Treating Persistent Nonmalignant Pain, Common Persistent Pain Conditions (1 credit)
Module 9 Assessing and Treating Neuropathic Pain (1 credit)
Module 10 Overview and Assessment of Cancer Pain
Module 11 Cancer Pain: Pharmacotherapy (1 credit)
Module 12 Management of Cancer Pain: Other Analgesic Approaches and End-of-Life Care (1 credit)

Publications: added 9/06

Core Curriculum for Pain Management Nursing

St. Marie, B., & American Society of Pain Management Nurses. (2002)

Pain: Clinical Manual, 2nd Edition
McCaffery, M., & Pasero, C. (1999).

[VickyRN]

Pain Management, Palliative Care, and Treatment of the Terminally Ill

[VickyRN]

Free professional article:

Drug watch 2006: Pain relievers

After reading this article, you should be able to:

1. Discuss the newer and lesser known drugs for managing pain.
2. Compare and contrast the most frequently used nonopioid and opioid analgesics.
3. Identify two analgesics that are currently being investigated.

[VickyRN]

Pain Management Nursing: Scope and Standards of Practice
Written in collaboration with the American Society for Pain Management Nursing
While pain management is best known in cancer, palliative, and end of life care, pain is also the nursing diagnosis most often used. Nurses who specialize in this interdisciplinary area work to optimize patient pain relief, function, and quality of life of the patient.
This book contains the standards of care and professional practice and their measurement criteria for both general and advanced practice, and describes the practice characteristics, settings and roles along with education and certification requirements pain management nursing. Indexed. 2005/48 pp.

Pub# 05SSPM.
List $16.95/ ANA Member $13.45

NursingWorld | Nurses Online Bookstore: ANA Nursing Standards

[VickyRN]

The Use of ‘As-Needed’ Range Orders for Opioid Analgesics in the Management of Acute Pain

The use of “as-needed” or “PRN” range orders for opioid analgesics in the management of acute pain is a common clinical practice. This approach provides flexibility in dosing to meet individual patients’ unique analgesic requirements. Range orders enable necessary and safe dose adjustments based on an individual’s response to treatment. This paper presents the consensus statement of the American Society for Pain Management Nursing and the American Pain Society on the use of “as-needed” range orders for opioid analgesics in the management of acute pain.

http://www.nursingcenter.com/library...icle_ID=589521

[VickyRN]

More resources:

NSAIDS

Learning the essentials of epidural anesthesia

Find out how this technique manages pain and make sure you know your patient-care responsibilities before and after catheter insertion.

[VickyRN]

Pain management: Delivering culturally appropriate care

http://mediwire.skyscape.com/main/De...ticleID=165063

[NRSKarenRN]

From:
American Society for Pain Management Nursing

Pain Management in Patients with Addictive Disease (pdf)

Summary

Patients with addictive disease have the right to be treated with respect and to receive the same quality of pain management as all other patients. Providing this care addresses the potential for increased drug use or relapse associated with unrelieved pain. Nurses are in an ideal position to advocate and intervene for these patients across all treatment setting

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