Pain
Management Traineeship
Curriculum
Traineeship Preceptors and Sites
Al Barber, PharmD, CGP, FASCP
Janice Scheufler, PharmD
Heartland
of Mentor Nursing Center
Hospice
of the Western Reserve
Cleveland, Ohio
As a regular part of their experience, participants will meet
daily with at least one of the preceptors and other members
of the interdisciplinary
team at the clinical practice sites to participate in resident
rounds, assessment, and care planning for patients with acute or
chronic pain. Participants will also interact directly with
patients on a daily basis to observe symptoms of pain
and to
discuss medication responses and other management issues. Participants
will actively engage in discussions on management of selected
patients. Participants will interact with patients in a variety
of practice sites, including a nursing facility, an outpatient
clinic, a hospice, and in the home.
The
traineeship will utilize four basic educational components,
but will focus heavily on the experiential/clinical components.
The scheduling of these components will be determined by daily
practice site schedules.
DIDACTIC
SESSIONS AND/OR PRE-READING MATERIALS
- Etiology of acute and chronic pain.
- Pathophysiology of acute and chronic pain conditions and
an update on current research examining the causes of these
conditions.
- Types of pain and presentation of acute and chronic pain.
- Diagnosis and assessment of acute and chronic pain conditions.
- Pharmacologic treatment of the underlying conditions, accompanying
symptoms, and comorbid conditions.
- Nonpharmacologic treatments, including alternative medicines
and therapies, for acute and chronic pain.
- Appropriate goals and outcomes of pharmacologic and nonpharmacologic
treatments for acute and chronic pain.
- Pain management guidelines.
- Problem solving techniques for identifying and avoiding
medication-related problems, such as side effects, among persons
with acute and chronic pain.
- Utilization of various assessment tools for incorporation
into the pharmaceutical care plan.
- Opportunities for the pharmacist as part of the interdisciplinary
pain management team.
- Quality improvement and the quality measure focusing on
pain.
EXPERIENTIAL/CLINICAL
- Follow patients with chronic or acute pain while establishing
a plan for
assessment,
monitoring, and the pharmacologic and nonpharmacologic management
of pain.
- Interact with interdisciplinary teams for the care of patients
with chronic malignant and nonmalignant pain syndromes.
- Participate on rounds with physicians, pharmacists and nursing
facility staff while performing pain assessments, care planning,
and individualizing pain management needs.
- Visit a fully integrated hospice within a long-term care
facility and interact closely with staff, patients, and caregivers.
- Visit a stand-alone hospice to observe and interact with
residents, home care patients, caregivers, and family members.
- Learn and observe atypical or nonverbal symptoms of chronic
pain among persons with cognitive impairment and how to
appropriately assess and manage their pain.
- Observe and perform patient assessments for acute and chronic
pain for persons with and without cognitive impairments.
- Experience the emotional, psychological, and medical challenges
and considerations that occur when a chronic pain state
impacts
the entire health of a geriatric patient.
- Identify and experience barriers to pain management in
individual patients.
- Learn and observe how racial, ethnic, and religious attitudes
and behaviors influence the diagnosis and treatment of pain.
CASE DISCUSSIONS
- Discussion will occur during and following each didactic
session.
- Meetings will be held to discuss relevant clinical care
issues.
- Selected case studies highlighting acute and chronic pain
conditions and clinical care decision making will be discussed
daily as a group.
SELECTED
READINGS
- Selected
reading materials will be provided to participants prior to
the traineeship.
|
|
