P50b Pain management in 8 to 18 year olds
Course summary
This comprehensive course looks at different types of pain and various pharmacological approaches to effective pain management in the child and young adult. It is ideal for first contact practitioners who deal with patients that present with either acute or chronic pain. Group participation including discussion, sharing of experiences, debate and practical workshops make this a stimulating and challenging experience. Relevant for prescribers and non-prescribing practitioners.
Who should attend?
Non-medical prescribers
School nurses
Practice nurses
Paediatric nurses
Advanced Nurse Practitioners
Allied Health Professionals
Aims / objectives
- Have a sound understanding of the physiology and different types of pain
- Review the WHO analgesic ladder, national and local pain management guidelines.
- Develop an understanding of a range of pharmacological treatments for acute and chronic pain management.
- Demonstrate awareness of the most suitable analgesic, dose and route of administration for a variety of conditions.
- Be aware of some non-pharmacological options for pain management
Course programme
- Pathophysiogical classification of pain
- -What symptoms arise from pain?
- -To understand that the approach to treatment depends on the classification of pain
- -To classify pain based on pain duration
- Differences in behaviour dependent on pain duration
- The Pain Consultation
- -Aim of the consultation
- -Questions to use in evaluating pain
- -Pain Expressions
- -Observation and Behaviour of Pain
- -Pain Management Tools
- -Shared Decision Making
- -Pain Assessment
- -Individual Pain Management Plan
- -Adequate Documentation
- -Determine Potential Barriers to Pain Management
- -Implement Plan
- Principles of Pharmacological Management of Pain
- Treating pain using a two-step strategy (WHO Guidelines)
- -Mild Pain
- -Moderate to Severe Pain
- -Treating pain at regular intervals
- -Treating pain by the appropriate route
- -Tailoring pain treatment to the individual child
- -Choice of strong opioids
- -Treatment of breakthrough pain
- Safe Use of Pain Medication
- -Which dose to use dependent on age or weight (calculations exercise)
- -Why codeine is no longer recommended for pain relief in children
- -Opioid switching – how to do this safely
- -Opioid Overdose
- -Multiple pain medication – is it safe?
- Tolerance, Withdrawal and Dependence Syndrome
- Neuropathic Pain Management
- -Antidepressants
- -Anticonvulsants
- -Ketamine
- -Local Anaesthetics
- Pain Associated with Muscle Spasm and Spasticity
Led by
TBA