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Course Objectives

1. Review the current research on pain in the geriatric patient.

2. Discuss the CMS regulations for pain management in long term care facilities.

3. Describe the pain pathway and how various medications impact the pain pathway.

4. Identify various assessment tools that can be used with various patients.

5. Develop an appropriate pharmacologic treatment plan based on medical history, age, and diagnosis.

6. List three non pharmacologic approaches to pain that can be used in the long term care setting.

7. Identify cultural norms related to pain management. 

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Course Outline

Pain overview- incidence in LTC, quality standards related to pain, legislation impacting pain management, impact of pain on geriatric patient

Physiology of pain- transmission of pain and why various medications are needed

Assessment of pain- assessment tools for the patient with dementia as well as other tools

Pharmacologic management of pain- opioids, non opioids, and adjuvants

Non pharmacologic management of pain

Interventional treatments for pain- epidural steroid injections, joint injections, nerve blocks

Spiritual/Cultural Aspects of pain.