Nursing: Pain Management: Principles and Practice, 3rd Edition

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About the Course

This course presents current information about pain and nursing care for persons experiencing pain. The course will provide an understanding of the physiological mechanisms of nociceptive and neuropathic pain. Nurses will be able to describe pain assessment for patients across the lifespan and will be able to identify evidence-based assessment for patients whose cognitive impairment, age, or level of consciousness makes them incapable of reporting their pain. The course also provide an understanding of the pharmacologic and non-pharmacologic treatment of acute and chronic pain, as well as treatment of pain at end-of-life. With this knowledge, nurses will be able to both educate patients about pain and advocate for safe and effective pain treatment based on scientific evidence.

Learning Outcomes: 
Upon completion of this course, the learner will be able to:
  • Discuss the prevalence of pain as well as approaches and barriers to its management and treatment.
  • Discuss the effect of patient and clinician variables on pain and its treatment.
  • Describe the range of substance use disorders and identify measures to predict risk for substance use disorders.
  • Identify the primary elements of the peripheral and central nervous system related to pain, the primary pain mechanisms, and the difference between nociceptive and neuropathic pain.
  • Describe how to perform a comprehensive pain assessment.
  • Discuss factors that affect assessment of pain in infants, children, older adults, and those with cognitive or verbal deficits or developmental delays and appropriate assessment measurements for each population.
  • Discuss the pharmacologic options for the management of pain and the role of nurses in caring for patients receiving nonopioid analgesics.
  • Discuss adjuvant analgesics and the nursing role in caring for persons receiving these medications.
  • Describe the mechanism of action of opioids and their safe use with patients.
  • Discuss the opioids indicated for management of mild to severe acute and chronic pain, the differences between sustained- and immediate-release preparations, and nursing interventions for managing the patient receiving opioids.
  • Describe nonpharmacologic physical and cognitive behavioral modalities for pain management and indications for these therapies.
  • Describe the importance of managing acute and chronic pain with a multidisciplinary approach that is congruent with the biopsychosocial model.
  • Describe the nursing care of people experiencing acute pain.
  • Describe nursing care of patients experiencing recurrent pain syndromes.
  • Discuss the difference between chronic and acute pain and the treatment paradigm and interventions for chronic musculoskeletal pain.
  • Discuss neuropathic pain, complex regional pain syndrome, phantom pain, and the treatment and nursing interventions for these conditions.

About the Author:
Ann Schreier, PhD, RN

Ann Schreier, PhD, RN, is a professor at East Carolina University (ECU) College of Nursing in Greenville, NC.  Dr. Schreier has clinical experience in oncology and hospice. Her clinical experience motivated Dr. Schreier to study and promote best practices in pain management. She is actively engaged in research with studies examining the relationship between pain, fatigue, sleep disturbance, and anxiety of breast cancer survivors and the development of interventions to assist cancer patients cope with pain and co-occurring symptoms. In her 25 years of experience as a faculty member at ECU, her colleagues consider Dr. Schreier an expert in the education of pain management. She has extensively lectured about pain management at local, regional, and national levels. In 2017, she received ECU’s Distinguished Faculty Mentor Award, is a past president of the American Society for Pain Management Nurses, and serves on the editorial board of Pain Management Nursing. Dr. Schreier is active in advocacy for pain management.

Disclaimer: This course is presented by Elite Professional Education LLC.

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