This day will provide guidance on meeting the pain management requirements of surgical patients who have more complicated histories. Amongst the subjects that will be reviewed are persistent post-surgical pain, management of the opioid-dependent patient and the patient taking opioids for a pre-existing chronic pain state. It will include some advice about non-pharmacological options that may be pursued as well as pharmaceutical management of such patients.
This event has been designed for advanced clinical pharmacists working on surgical wards, either in a pain management role or a surgical clinical role, especially those who may prescribe for pain management in such patients. It may be of use to other healthcare professionals although the focus will be on the learning needs of pharmacists.
At the end of this masterclass, participants should be able to:
- Discuss anaesthesia, analgesia, sedation and neuromuscular paralysis for symptom management of pain.
- Outline the mechanism of action, characteristics and clinical use of anaesthetic agents for analgesia, sedation and neuromuscular paralysis including the evidence base supporting local practice with these agents.
- Identify persistent post-surgical pain and techniques to manage patients with this condition when they present with chronic or acute on chronic presentations, or for further surgical procedures.
- Demonstrate knowledge and understanding of opioid conversion taking into account different routes of administration, drug choice and indications for therapy.
- Demonstrate knowledge of epidural administration.
- Demonstrate knowledge of the use of local anaesthetics and describes treatment options and pros and cons.
- Outline the mechanism of action, characteristics and clinical use of treatments for bone, muscle and/or joint pain management, acute and chronic, psychosomatic or other.
- Outline the mechanism of action, characteristics and clinical use of patient controlled analgesia (PCA), nurse controlled analgesia (NCA) and epidural controlled analgesia (ECA).
- Discuss pathophysiology and risk factors for the development of acute, chronic and neuropathic pain. Understand the mechanism of action, pharmacology and pharmacokinetic characteristics and clinical use of treatments for these conditions.
- Demonstrate knowledge of the different uses and the different methods of delivery of a broad range of analgesic agents.
- Outline the current concepts around pain management and takes account of the different characteristics of agents used.
- Describe and outline management options for indirect factors contributing to pain.
- Demonstrate knowledge of management of pain in opioid dependent patients.
- Demonstrate understanding of the complex issues around pain and involvement of spiritual and/or psychological factors.
- Applies methods of chronic pain prevention and management in surgical situations.
- Demonstrate understanding of additional risk factors associated with illicit drug use when recommending pain relief to substance misusers.
- Describe the importance of timing in epidural catheter insertion/removal in the surgical patients receiving anticoagulation or antiplatelet agents.
Attending this event will help you advance your professional practice and could be used as evidence in your RPS Faculty portfolio.
The pharmaceutical industry has been invited to financially support this event by booking exhibition stand space. Stand sponsors have no input into the content of events.