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Pain Management and Opioids. Common Interventional Pain Procedures knowledgeplus.nejm.org 3 invasive than injections of a local anesthetic with or without a glucocorticoid. Complications of interventional pain procedures. Complications are rare and are discussed below with each procedure, but some general considerations are worth highlighting:.
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Hydromorphone (Dilaudid®) IV/SQ: 2-6 mg. PO: 2-4 mg IV/SQ: 0.2-0.6 mg. Individualize dose by gradual escalation until adequate analgesia - No therapeutic ceiling unless side effects. If pain is poorly controlled and no side effects, can safely increase using % rule: - Increase by 25-50% for moderate pain. Increase by 50-100% for severe pain.
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Presentation Transcript. Pain Management for Patients in OTPs. Pain Prevalence • Study of (2) populations1 • (390) pts in MMT • (531) pts in short term residential • Prevalence of chronic severe pain, defined as pain that persisted > 6 months and was moderate to severe intensity or that significantly interfered with daily activities.
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Pain Management 2 - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. notes not mine just for learning purpose. notes not mine just for learning purpose.. Nonpharmacological Pain Management Techniques.
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RELAXATION TECHNIQUES. It reduces pain by relaxing tense muscles that contribute the pain. Techniques consists of abdominal breathing at a slow, rhythmic rate. BED REST The use of prolonged bed rest in the treatment of patients with neck and low back pain and associated disorders is without any significant scientific merit.
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Presentation: Management and Assessment of Pain in the Emergency Department at UF Jacksonville COM Grand Rounds, by Dr. Phyllis Hendry, October 2015. Documentaries and Videos A Car with Four Flat Tires - American Chronic Pain Association: video that discuss how a person with pain is like a car with four flat tires.
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• Pain in unquestionable unpleasant and therefore has an emotional/affect quality to it • This emotional/affect component is always negative • Emotions most associated with pain are depression, anxiety/fear, and anger. Gatchel, R. J., et al. The biopsychosocial approach to chronic pain: scientific advances and future directions. 2007.
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Pain Assessment in the Elderly and the Cognitively Impaired 1. Pain is a common symptom in the elderly. One U.S. survey of nursing homes showed that 70-80% suffered from significant pain. Of these, 1/3 had constant pain and less than 1/3 of those had orders for regular pain medication. 2. Assessment of pain in elderly &/or cognitively
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Open monitoring. Non-directed acknowledgment of any sensory, emotional or cognitive event that arises in the mind. Without evaluation, interpretation or preference. (Removes the negative associations of the pain sensation.) (Lutz et al. 2008) Better results with long term practice or combined with focused attention for brief trainings.
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3. Types • Acute pain: pain of less than 3 to 6 months duration. • Chronic pain: pain lasting for more than 3-6 months, or persisting beyond the course of an acute disease. 4. cold application • Exercise • Physical therapy and occupational therapy • Mind-body techniques • Yoga • Biofeedback. • Music therapy.
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To download or view the PowerPoint presentations of the learning modules click the links below. Module 1: Basics of Pain Assessment and Management Module 2: Acute Pain Management in Emergency and Acute Care Settings Module 3: Procedural Sedation and Analgesia (PSA) in Adults and Children in Emergency Settings Module 4: Pharmacologic Treatment of Pain in…
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WHO 3-step Analgesic. Analgesic ladder in action: Step 1: non-opioid analgesics (Paracetamol and Aspirins, NSAIDS) Step 2: mild opioid is added (not substituted) to step 1 Step 3: Opioid for moderate to severe pain is used and titrated to effect. Breakthrough pain Use. Pain management through medication. Universal Side Effect .
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Pain Management Techniques - Free download as Powerpoint Presentation (.ppt / .pptx), PDF File (.pdf), Text File (.txt) or view presentation slides online. Scribd is the world's largest social reading and publishing site.
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Other Slideshows. Pain is a universally understood sign of disease and the most common symptom bringing people to seek medical attention. Physicians have been struggling throughout history to.
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• How to manage the continuum of acute postoperative pain by providing preoperative consultation, intraoperative suggestions and postoperative care, including the use of patient- controlled analgesia, spinal medication delivery and regional anesthesia techniques
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36. 36 5 Pain Treatment. 37. 37 Goals of Pain Management Therapy 1) Decreased pain 2) Decreased healthcare utilization o Decreased "shopping" for care o Decreased emergency room visits 3) Improved functional status o Increased ability to perform activities of daily living o Return to employment.