Pain Management: Easing Pain in Palliative Care

所在平台: Coursera

课程主页: https://www.coursera.org/learn/pain-management-easing-pain-in-palliative-care

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课程简介

课程名称:疼痛管理:缓解姑息治疗中的疼痛 课程概述:本课程旨在帮助您从系统的角度评估和管理姑息治疗中的疼痛。完成课程后,您将能够:1) 描述姑息治疗中疼痛问题;2) 评估个体的疼痛状况;3) 解释整合疗法和药物策略在疼痛管理中的益处。 课程大纲: 模块一:疼痛 在本模块中,您将学习疼痛评估的基础知识,包括疼痛的定义及其在姑息治疗中的范围。将回顾严重疾病患者面临的不同类型和疼痛原因,并了解疼痛药物及整合疗法如何减轻疼痛。此外,还将讨论良好疼痛管理的障碍以及常见误区。您将学习如何评估患者的疼痛,特别是当患者无法表达痛感时的评估方法。 模块二:非药物疼痛治疗 本模块将探讨影响疼痛表达及其对治疗反应的多种维度。您将了解多种整合疗法和治疗实践,重点关注护理人员与患者之间的关系,并关注身心灵的整体健康,旨在改善健康、治疗和缓解疼痛。将定义互补和替代疗法,并回顾国家综合健康中心定义的四个整合健康领域。最后,您将评估使用这些疗法来管理严重疾病患者疼痛的最佳证据。 模块三:药物管理(包括非处方药和非阿片药物) 当患者感到痛苦时,生活质量会下降,痛苦感会加剧。本模块将讨论可用于缓解疼痛和苦难的非阿片药物。 模块四:阿片类药物、安全性与成瘾 本模块将介绍可用于疼痛治疗和缓解痛苦的阿片类药物。 模块五:缓解疼痛:评估 在本模块中,您将通过案例研究学习,模拟患者安娜·加西亚的故事,她被诊断为宫颈癌。您将思考如何为她辩护以及如何帮助她缓解疼痛。您需要回答基于前四个模块所学新知识的问题。评估将分为两部分,首先回答七个问题,反映前两个模块的内容,然后在成功通过第一部分后,回答关于安娜案例的八个问题。 祝您好运!

课程大纲

Name:Pain

Description:In this module, you will review pain assessment basics. You will start with defining pain and the scope of the pain problem in the palliative care setting. You will review various pain types and causes of pain in people with serious illness. To understand how pain medications and integrative pain therapies work to decrease pain, you need to know how the body recognizes pain and makes a person hurt. Common barriers to good pain management and myths and misconceptions will be discussed. You will review how to evaluate a person’s pain and how to know if persons are having pain when they cannot tell you. Remember pain is a personal experience.

Name:Non-Pharmacological pain treatment

Description:In this module, you will review the many dimensions that can affect the way pain is expressed and how it responds to treatment. You will also review various integrative therapies or healing practices that focus on the relationship between the provider and whole person, including the mind, body, and spirit, to improve health, healing, and pain. You will start with defining complementary and alternative therapies and understanding the difference between the two. You will review four integrative health domains as defined by the National Center for Integrative Health which is part of the National Institutes of Health. Finally, you will evaluate the best evidence about the use of these therapies in managing pain in people with serious illness. Remember, it is important to ask patients if they use integrative health therapies. Try to understand their past experiences and attitudes toward non-drug treatments. The key is to find out what works for the person in pain with his/her unique characteristics. As caregivers we need to be open to various approaches and our patient’s wishes.

Name:Medication Management (including over the counter and non-opioid medicines)

Description:When people have pain their quality of life can be poor and they can experience more suffering. In this module, you will learn about non-opioid medications that can be used to treat pain and ease suffering.

Name:Opioids, safety, and addiction

Description:When people have pain their quality of life can be poor and they can experience more suffering. In this module, you will learn about opioid medications that can be used to treat pain and ease suffering.

Name:Easing Pain: Assessment

Description:In this module, you will review a case study of Mrs. Ana Garcia, a mock patient diagnosed with cervical cancer. Listen to her story and think about what you would do to advocate for her and help her pain. You will answer questions based on your new knowledge and skills you have learned from modules 1 to 4. This summative assessment has two parts. First, you will answer seven questions reflecting on material presented in the first two modules of our course, “Easing Pain.” Once you successfully pass the first part of the summative assessment, answer the next 8 questions about Anna’s case based on materials learned from modules 3 and 4. Good luck!

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In this course, you will be able to develop a systems view for assessing and managing pain in the palliative care setting. By the end of the course, you will be able to: 1) Describe the pain problem in the palliative care setting; 2) Assess a person’s pain, 3) Explain the benefits of integrative therapies and pharmacologic strategies to manage pain.

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