ELNEC Undergrad/New Grad Module 3: Pain Management in Palliative Care

ELNEC Undergrad/New Grad Module 3: Pain Management in Palliative Care 

This module will outline the general strategies related to pain assessment and management. Some of this content may be review for you, depending where you are in your education, but it is all critical content for your nursing practice. Nurses and the comprehensive assessments they perform are key as they work with patients, family, and the interprofessional team to develop a plan to treat and manage pain. Pain must be understood as a biopsychosocial/spiritual experience and should therefore be treated using a multidimensional approach (e.g. pharmacologic and non-pharmacologic therapies and additional consults with pain and addiction specialists, radiation oncologists, mental health professionals, rehabilitation therapists, complimentary medicine experts, spiritual guides, chaplains, etc.). Your nursing role is very important, as you contribute your expertise in assessing the multiple dimensions of pain, advocating for good pain management, and providing compassionate care to patients, in an effort to prevent suffering. The goal of this course is to provide undergraduate and new graduate nurses in hospice and palliative care with knowledge of pain management.
 

$15.00

Hours: 1.00
REL-PAC-ELNEC-USMPMC

Certificates

Certificates provided by accrediting body (0 Match)

Course Details

Course Code: REL-PAC-ELNEC-USMPMC
Hours: 1
Type: Online Course
Content Expiration Date: 5/31/2023
Learning Objectives:
Explain the biopsychosocial and spiritual nature of pain.
Describe the essential components of a comprehensive pain assessment.
Describe pharmacological and two non-pharmacological interventions used to relieve pain.
Discuss the role of the nurse in pain assessment and management of patients with serious illnesses.

Outline:
Section 1: Introduction

About This Course

Learning Objectives

Section 2: Pain Assessment

Pain Is Multidimensional

Biopsychosocial/Spiritual Model

Barriers to Pain Relief

Give It a Try

Pain Assessment: Biological/Physical Domain

Pain Assessment: Psychosocial Domain

Pain Assessment: Spiritual Domain

Pain Assessment Interview

Key Points from the Interview

Practice

Physical Examination

Reassess Pain

Communicating Pain Assessment

Key Points on Communication

Review

Summary

Section 3: Pain Management

It Takes a Team

Acetaminophen

NSAIDs

Pain Question

Commonly Used Opioids

Respiratory Depression

Constipation

Other Adverse Effects

Important Definitions

Pain Question

Adjuvant Therapy

Routes of Administration

Opioid Formulations

Non-Pharmacologic Strategies

When the Pain Plan is Not Working

Under-Treatment in Children

Pediatric Pain

Under-Treatment in Older Adults

Others at Risk

Your Critical Role as the Nurse

Review

Summary

Section 4: Conclusion

Summary

Course Contributors

Resources

References

Instructor: The ELNEC Project Team 2020

The content for this course was created or revised by The ELNEC Project Team:

Betty Ferrell, RN, PhD, MA, CHPN, FAAN, FPCN, has been in nursing for 41 years and has focused her clinical expertise and research in pain management, quality of life, and palliative care. Dr. Ferrell is the Director of Nursing Research & Education and a Professor at the City of Hope Medical Center in Duarte, California. She is a Fellow of the American Academy of Nursing and she has over 450 publications in peer-reviewed journals and texts. She is Principal Investigator of a Research Project funded by the National Cancer Institute on "Palliative Care for Patients with Solid Tumors on Phase 1 Clinical Trials" and Principal Investigator of the "End-of-Life Nursing Education Consortium (ELNEC)" project. She directs several other funded projects related to palliative care in cancer centers and QOL issues. Dr. Ferrell is Co-Chairperson of the National Consensus Project for Quality Palliative Care. Dr. Ferrell completed a Master's degree in Theology, Ethics and Culture from Claremont Graduate University in 2007. She has authored eleven books including the Oxford Textbook of Palliative Nursing (5th Edition, 2019) published by Oxford University Press. She is co-author of the text, The Nature of Suffering and the Goals of Nursing published in 2008 by Oxford University Press and Making Health Care Whole: Integrating Spirituality into Patient Care (Templeton Press, 2010). In 2013 Dr. Ferrell was named one of the 30 Visionaries in the field by the American Academy of Hospice and Palliative Medicine.

Rose Virani, BSN, MHA, FPCN is a Senior Research Specialist in the Nursing Research and Education Department at the City of Hope in Duarte, CA. Ms. Virani has worked in various clinical and administrative areas in oncology nursing for over 45 years. She has been the Project Director of ELNEC since its inception 20 years ago, starting with the RWJF supported "End-of-Life Nursing Education Consortium (ELNEC)" conducted from 2000-2005; and presently is the Project Director of all ELNEC projects. As project director, she has participated in the development, coordination and implementation of all ELNEC projects including data collection and follow-up of participants' goals. The data from these projects has resulted in over 40 peer reviewed outcomes publications on the importance and dissemination of palliative care in nursing education--Ms. Virani was the recipient of the 2006 "Excellence in Supportive Care", the 2006 "Mary Nowotny Excellence in Cancer Nursing Education," and the 2009 ONS Pearl Moore, "Making a Difference" Oncology Nursing Society (ONS) awards. Ms. Virani was inducted as a fellow in The Hospice and Palliative Nurses Association in 2009 and is a Florence Wald fellow. In 2016, she was the recipient of the 2016 Hospice and Palliative Nurses Association (HPNA) Distinguished Career Achievement Award. Ms. Virani has coauthored over 60 journal articles and primary author of seven book chapters.

Pam Malloy, MN, RN, FPCN, FAAN is an oncology clinical nurse specialist with over 40 years of experience in clinical oncology and palliative care nursing, staff development, education, program development, and administration. Ms. Malloy has been the national Director and Co-Investigator of the End-of-Life Nursing Education Consortium (ELNEC) Project and Special Advisor on Global Initiatives at the American Association of Colleges of Nursing (AACN) in Washington, DC. She has served as faculty for all the national ELNEC courses and has presented ELNEC in 12 international countries. In addition, she has developed palliative care nursing leadership curricula, taught, and mentored current and future nursing and physician leaders throughout Eastern Europe, Kenya, and Asia. Ms. Malloy directed the California Endowment project for AACN on developing cultural competencies for undergraduate and graduate nursing students. In addition, she collaborated with the US Department of Veterans Affairs to develop the ELNEC-For Veterans curriculum, which was presented to over 500 nurses, representing every VA hospital across the nation. Ms. Malloy is a Florence Wald Fellow, a Fellow in Palliative Care Nursing (FPCN), and the American Academy of Nursing (FAAN). She has written and had published numerous articles in peer-reviewed journals, has written chapters for various textbooks, and consulted on three palliative care grants. She was recently presented with a Lifetime Achievement Award from the MD Anderson Cancer Center.

Polly Mazanec, PhD, AOCN, ACHPN, FPCN, FAAN is an oncology palliative care advanced practice nurse who has been on the ELNEC Faculty since 2001, teaching palliative care nationally and internationally. She has had extensive clinical experience in integrating palliative care into out-patient oncology settings and hospice programs and into nursing education. Dr. Mazanec is a Research Associate Professor at Case Western Reserve University's Frances Payne Bolton School of Nursing (Cleveland, OH) and Co-Investigator on a Web-based intervention for long-distance caregivers of parents with advanced cancer. She is also the Co-Investigator for the ELNEC-Undergraduate and Graduate curriculum, funded by the Cambia Health Foundation. An important part of the ELNEC Undergraduate and Graduate projects has been the development of primary palliative care competencies for undergraduate, Master's and Doctor of Nursing Practice (DNP) students, with online curricula to assist educators in undergraduate and graduate nursing programs prepare nurses to provide palliative care to seriously ill patients and their families. Dr. Mazanec has published and presented in the areas of palliative care in the oncology setting, cultural considerations at end of life, interprofessional education in oncology and palliative care, and caregiving. 

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