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This lecture relates the importance of pain assessment to effective pharmacotherapy and explains the neural mechanism for pain at the level of the spinal cord. The video looks at how pain can be controlled by inhibiting the release of spinal neurotransmitters and the role of non-pharmacologic therapies in pain management and substances with pharmacologic activity contained in opium. It compares and contrasts the types of opioid receptors and their importance to pharmacology, role of opioid antagonists in the diagnosis and treatment of acute opioid toxicity. Students learn the long-term treatment of opioid dependence and compare the pharmacotherapeutic approaches of preventing migraines to those of aborting migraines. The lecture describes the nurse's role in the pharmacological management of patients receiving analgesics and anti-migraine medications and for each of the drug classes listed in Drugs at a Glance, explains the mechanism of drug action, primary actions, and important adverse effects and categorizing drugs used in the treatment of pain based on their classification and mechanism of action. Use the nursing process to care for patients receiving drug therapy for pain.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. This extensive lecture covers types and categories of pain according to location, etiology, and duration while differentiating pain threshold from pain tolerance. Processes involved in nociception, how pain interventions can work during each process and the gate control theory and its application to nursing care are delineated. The video lecture identifies subjective and objective data to collect and analyze when assessing pain and while giving examples of nursing diagnoses for clients with pain. Barriers to effective pain management and pharmacologic interventions for pain are described together with terms such as tolerance, dependence, and addiction. World Health Organization's ladder step approach to cancer pain, rationales for using various analgesic delivery routes and nonpharmacologic pain control interventions are discussed.
This lecture describes the use of systemic drugs to promote pain relief during labor and compares the major types of regional analgesia and anesthesia, including area affected; advantages, disadvantages, techniques, and nursing implications. This video discusses the possible complications of regional anesthesia and the nursing care related to general anesthesia and its major complications.
This video looks at the neurophysiology of pain by focusing on definitions and characteristics of acute, chronic, breakthrough central, phantom, and psychogenic pain and factors affecting individualized responses to pain. It clarifies myths and misconceptions about pain and goes further to discuss collaborative care for the client in pain, including medications, surgery, transcutaneous electrical nerve stimulation, and complementary therapies. Students learn the use the nursing process as a framework for providing individualized nursing care for clients experiencing pain.
This video looks at the physiologic and behavioral consequences of pain, appropriate tool to assess and management for a child receiving an opioid analgesic. It explores the rationale for the effectiveness of nonpharmacologic (complementary) methods of pain control, assesses children of different ages with acute pain, and develops a nursing care plan that integrates pharmacologic interventions and developmentally appropriate nonpharmacologic (complementary) therapies. Students learn how to develop a nursing care plan for assessing and monitoring the child having sedation and analgesia for a medical procedure
Pain is something we all experience and is something that many people fear, especially as they grow older. Long term experiences of pain may well become increasingly common as we head towards an ageing society beset with multiple chronic diseases. It is therefore imperative that medical professionals understand the implications of pain and incorporate appropriate actions to assess and deal with pain into their patient care. This program considers all of these issues and looks broadly at pain management in the elderly. Three pain management experts share their insights with us, examining what pain is, assessment methods and common treatments available.
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Chronic pain is often a concern for older adults. Using a variety of assessment tools, this DVD will help caregivers to evaluate the presence and severity of pain, whether the patient is able to verbalize it or not. This DVD demonstrates how to assess for pain in older adults, using these four tools: the Faces Pain Scale, the Verbal Descriptor Scale, the Numeric Rating Scale, and the Pain Assessment in Advanced Dementia Scale. The DVD goes further to document how to assess and re-evaluate the effectiveness of the applied interventions, as needed.
This program describes nonpharmacologic approaches and treatments, known as complimentary pain treatment modalities, commonly used to reduce or control pain in comprehensive pain management programs.
This program provides a review of the pathophysiology of pain processes, describes the components of a thorough pain assessment, and identifies outcomes needed for an effective pain management program.
In our pathway to pain management, Pain Beyond Blame will reinforce your existing pain management program. Focusing on creating a team effort, this program will reinforce the psychological, physiological and pathological attributes associated with brief, re-occurring or chronic pain sufferers. Committed to excellent and compassionate patient care, this program will benefit all patient care providers.
A large percentage of long term care residents live with chronic pain. This program looks at the issue of pain from the resident's perspective, and allows residents to describe their pain, and the effects it can have on their livelihood, such as, depression and withdrawal from social interaction. They discuss how they deal with and overcome their pain, the reluctance to open up to caregivers about their pain, the reluctance to take medication and how they communicate their pain.
The DVD will help sensitize staff to the fact that each resident deals with pain differently (some even hide it or try to ignore it), and increase staff awareness of their ongoing responsibility to recognize and respond to each resident's pain in a timely manner.
It is the goal of this program to reinforce a pain management standard that will effectively provide pain relief to all patients. The Pathway to Care will reinforce the importance of understanding the physiological, pathological and psychological conditions that may be surrounding the pain. Topics include:
Summarizes the AHCPR Clinical Practice Guideline for Acute Pain Management in Infants, Children, and Adolescents: Operative and Medical Procedures. Discusses recommendations for the use of particular assessment techniques and the use of pharmacologic and nonpharmacologic techniques for managing pain.
Critically important new program designed to familiarize healthcare professionals with the new pain management guideline developed by the Agency for Healthcare Policy and Research (AHCPR). Goals of this program include:
Reducing the incidence and severity of pain
Educating patients about the need to communicate unrelieved pain
Enhancing patient comfort and satisfaction
Contributing to fewer postoperative complications.
Leta Truett, RN, MN, CCRN; Deborah M. Thorpe, PhD, RN, CS; Mary Cunningham, RN, MS; Talulah Ruger, RN, BSN
This program features physicians and doctors discussing various appropriate nursing rules and interventions in pain management. The major areas of discussion are as follows: acute or post-operative pain management - current techniques and therapies, barriers to effective management; chronic non-malignant pain management or behavioral/cognitive pain management- classifications of chronic non-malignant pain characteristics, data collection, and treatment, cancer pain management - dosing regimens; nursing assessment for acute, chronic non-malignant or cancer pain - current therapies and techniques, point controlled analgesia (PCA), epidural analgesia.
Pain management is one of the most important indicators of quality of life. This program is designed to give you an overview of the important factors involved in pain management and understanding the anatomy and physiology of pain.
Merle L. Diamond, MD, FACP; Leonard Cerullo, MD; Glen D. Soloman, MD
This program addresses issues in chronic pain management in the emergency medical setting including: the differential diagnosis of headaches, management of lower back pain and management of patients with chronic pain in the acute setting.
Seymour Diamond, MD; Richard B. Lipton, MD; Robert S. Kunkel, MD, FACP; R. Michael Gallagher, DO, FACOFP
Familiarizes viewers with the diagnosis and treatment of migraine headaches. A thorough discussion of the newest advances in the treatment of migraine, as well as standard forms of therapy, are presented.
Seymour Diamond, MD; Merle L. Diamond, MD,FACP; Jack A. Klapper, MD; Brian Mondell, MD
Indications and agents used in the abortive and prophylactic treatment of migraine, non-pharmacologic intervention; aspects of diagnosis and current options of episodic and chronic cluster headache, therapeutic complexities of cranial neuralgias; distinction between episodic and chronic tension-type headaches, selection of agents used in chronic tension-type headaches due to anxiety and depression; factors impacting on the differential diagnosis of headache presented in the emergency dept., and the indications for neuroradiologic testing .
Judd W. Moul, MD; Myra Glajchen, DSW; David G. McLeod, MD, JD; Nancy A. Dawson, MD
New paradigm of metastatic prostate cancer in the '90's; psychosocial aspects of metastatic prostate cancer and pain management; comparisons and contrasts of prostate cancer: patients vs. physicians; medicolegal aspects; medical oncology perspective of metastatic prostate cancer/pain control.
In the same manner as temperature or blood pressure, pain can be a vital indicator of health problems. The program shows caregivers how to help residents 'describe' the pain they are experiencing, where it's located, and the level of severity so that pain can be properly reported and treated. Caregivers will learn how to recognize non-verbal signs of pain, such as:
Facial expressions
Tender areas on the body
Constant movement
Non verbal sounds
An increase in agitation
Lack of involvement
Changes in vital signs
The program discusses:
Pain related to certain conditions, such as, cancer, diabetes, urinary tract infections, and pressure sores
Acute Pain
Evaluating pain after a resident fall
Emotional pain
This program also pays special attention to the critical need for staff members to report response to medical treatment, so that the effectiveness of the treatment can be evaluated and adjusted as needed.